05D2285462 CLIA NUMBER - ALVARADO HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2285462
  • Facility Name: ALVARADO HEALTH CENTER
  • Facility Address: 2200 WEST 3RD STREET #400
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 699-7147
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RONA MOLODOW
  • NPI Number: 1073682928
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2285462
LAB Type Community Clinic
Facility Name ALVARADO HEALTH CENTER
Street 2200 WEST 3RD STREET #400
City LOS ANGELES
State CA
ZIP 90057
Phone 213 699-7147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Community Clinic
Lab Director RONA MOLODOW

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