05D2202841 CLIA NUMBER - PRECISION HEALTH CENTER - HUNTINGTON PARK

Laboratory Demographics

  • CLIA Code: 05D2202841
  • Facility Name: PRECISION HEALTH CENTER - HUNTINGTON PARK
  • Facility Address: 2568 CLARENDON AVE
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 582-5444
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANDREW NGUYEN
  • NPI Number: 1205412244
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2202841
LAB Type Federally Qualified Health Center
Facility Name PRECISION HEALTH CENTER - HUNTINGTON PARK
Street 2568 CLARENDON AVE
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 582-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Federally Qualified Health Center
Lab Director ANDREW NGUYEN

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