05D2295540 CLIA NUMBER - CLINICA DE SALUD

Laboratory Demographics

  • CLIA Code: 05D2295540
  • Facility Name: CLINICA DE SALUD
  • Facility Address: 1823 E PALMDALE BLVD STE I
    PALMDALE, CA
    ZIP 93550
  • Facility Phone: 661 310-0299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN A. JAHROUMI
  • NPI Number: 1700578499
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295540
LAB Type Physician Office
Facility Name CLINICA DE SALUD
Street 1823 E PALMDALE BLVD STE I
City PALMDALE
State CA
ZIP 93550
Phone 661 310-0299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director ALLEN A. JAHROUMI

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