05D2265399 CLIA NUMBER - JWCH INSTITUTE INC (CSV 1)

Laboratory Demographics

  • CLIA Code: 05D2265399
  • Facility Name: JWCH INSTITUTE INC (CSV 1)
  • Facility Address: 4424 MELROSE AVE
    LOS ANGELES, CA
    ZIP 90029
  • Facility Phone: 323 201-4516
  • Facility Type: Other - TESTING SITE
  • Facility Type: Waiver
  • Lab Director: PAUL GREGERSON
  • NPI Number: 1255891875
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2265399
LAB Type Other - TESTING SITE
Facility Name JWCH INSTITUTE INC (CSV 1)
Street 4424 MELROSE AVE
City LOS ANGELES
State CA
ZIP 90029
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 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Other - TESTING SITE
Lab Director PAUL GREGERSON

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