05D2186352 CLIA NUMBER - GENORA HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2186352
  • Facility Name: GENORA HEALTH INC
  • Facility Address: 4880 HUNTINGTON DRIVE SOUTH
    LOS ANGELES, CA
    ZIP 90032
  • Facility Phone: 323 826-7388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SU S. CHEN
  • NPI Number: 1932857448
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2186352
LAB Type Physician Office
Facility Name GENORA HEALTH INC
Street 4880 HUNTINGTON DRIVE SOUTH
City LOS ANGELES
State CA
ZIP 90032
Phone 323 826-7388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director SU S. CHEN

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