05D2291935 CLIA NUMBER - WESLEY HEALTH CENTERS - CECIL HOTEL

Laboratory Demographics

  • CLIA Code: 05D2291935
  • Facility Name: WESLEY HEALTH CENTERS - CECIL HOTEL
  • Facility Address: 640 S. MAIN S
    LOS ANGELES, CA
    ZIP 90014
  • Facility Phone: 323 201-4516
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: PAUL GREGERSON
  • NPI Number: 1538342704
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2291935
LAB Type Federally Qualified Health Center
Facility Name WESLEY HEALTH CENTERS - CECIL HOTEL
Street 640 S. MAIN S
City LOS ANGELES
State CA
ZIP 90014
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 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Federally Qualified Health Center
Lab Director PAUL GREGERSON

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