05D2293336 CLIA NUMBER - PIH HEALTH PHYSICIANS

Laboratory Demographics

  • CLIA Code: 05D2293336
  • Facility Name: PIH HEALTH PHYSICIANS
  • Facility Address: 2200 W 3RD STREET SUITE 120
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 202-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAIME A. DIAZ
  • NPI Number: 1881342087
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2293336
LAB Type Physician Office
Facility Name PIH HEALTH PHYSICIANS
Street 2200 W 3RD STREET SUITE 120
City LOS ANGELES
State CA
ZIP 90057
Phone 213 202-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director JAIME A. DIAZ

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