05D2202899 CLIA NUMBER - COMPTON MENTAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2202899
  • Facility Name: COMPTON MENTAL HEALTH CENTER
  • Facility Address: 921 EAST COMPTON BLVD
    COMPTON, CA
    ZIP 90221
  • Facility Phone: 310 668-6878
  • Facility Type: Other - COUNTY-OPERATED MENTAL HE
  • Facility Type: Waiver
  • Lab Director: CARLOS J. MANZANO
  • NPI Number: 1760568489
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2202899
LAB Type Other - COUNTY-OPERATED MENTAL HE
Facility Name COMPTON MENTAL HEALTH CENTER
Street 921 EAST COMPTON BLVD
City COMPTON
State CA
ZIP 90221
Phone 310 668-6878
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 Other - COUNTY-OPERATED MENTAL HE
Lab Director CARLOS J. MANZANO

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