05D2268172 CLIA NUMBER - MONTEBELLO FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2268172
  • Facility Name: MONTEBELLO FAMILY HEALTH CENTER
  • Facility Address: 2417 W. WHITTIER BLVD.
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 905-5809
  • Facility Type: Health Fair
  • Facility Type: Microscopy
  • Lab Director: JOSE PEREZ
  • NPI Number: 1285606228
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2268172
LAB Type Health Fair
Facility Name MONTEBELLO FAMILY HEALTH CENTER
Street 2417 W. WHITTIER BLVD.
City MONTEBELLO
State CA
ZIP 90640
Phone 323 905-5809
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Health Fair
Lab Director JOSE PEREZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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