05D2166769 CLIA NUMBER - URGENT CARE PROS (LAKEWOOD)

Laboratory Demographics

  • CLIA Code: 05D2166769
  • Facility Name: URGENT CARE PROS (LAKEWOOD)
  • Facility Address: 5424 WOODRUFF AVE
    LAKEWOOD, CA
    ZIP 90713
  • Facility Phone: 657 377-0740
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TERENCE D. O'NEIL
  • NPI Number: 1184186629
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2166769
LAB Type Other - URGENT CARE
Facility Name URGENT CARE PROS (LAKEWOOD)
Street 5424 WOODRUFF AVE
City LAKEWOOD
State CA
ZIP 90713
Phone 657 377-0740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Other - URGENT CARE
Lab Director TERENCE D. O'NEIL

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