05D2211442 CLIA NUMBER - WESLEY HEALTH CENTERS-MOBILE HEALTH CLINIC II

Laboratory Demographics

  • CLIA Code: 05D2211442
  • Facility Name: WESLEY HEALTH CENTERS-MOBILE HEALTH CLINIC II
  • Facility Address: 45104 10TH ST WEST, MOBILE UNIT 2
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 323 201-4516
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: PAUL GREGERSON MD
  • NPI Number: 1245786532
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2211442
LAB Type Federally Qualified Health Center
Facility Name WESLEY HEALTH CENTERS-MOBILE HEALTH CLINIC II
Street 45104 10TH ST WEST, MOBILE UNIT 2
City LANCASTER
State CA
ZIP 93534
Phone 323 201-4516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Federally Qualified Health Center
Lab Director PAUL GREGERSON MD

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