05D2159451 CLIA NUMBER - MISSION CITY COMMUNITY NETWORK INC

Laboratory Demographics

  • CLIA Code: 05D2159451
  • Facility Name: MISSION CITY COMMUNITY NETWORK INC
  • Facility Address: 5300 SANTA MONICA BLVD, STE 202
    LOS ANGELES, CA
    ZIP 90028
  • Facility Phone: 818 895-3100
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN CHARD
  • NPI Number: 1598996506
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2159451
LAB Type Community Clinic
Facility Name MISSION CITY COMMUNITY NETWORK INC
Street 5300 SANTA MONICA BLVD, STE 202
City LOS ANGELES
State CA
ZIP 90028
Phone 818 895-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Community Clinic
Lab Director JOHN CHARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025