05D2313057 CLIA NUMBER - ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO CENTER FOR ADVANCED WOUND HEALING & HYPERBARIC MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2313057
  • Facility Name: ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO CENTER FOR ADVANCED WOUND HEALING & HYPERBARIC MEDICINE
  • Facility Address: 413 N POPLAR AVE
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 859-4430
  • Facility Type: Other - HOSPITAL BASED OP HYPERBA
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD CHAUDHRY
  • NPI Number: 1528440898
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2313057
LAB Type Other - HOSPITAL BASED OP HYPERBA
Facility Name ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO CENTER FOR ADVANCED WOUND HEALING & HYPERBARIC MEDICINE
Street 413 N POPLAR AVE
City MONTEBELLO
State CA
ZIP 90640
Phone 323 859-4430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Other - HOSPITAL BASED OP HYPERBA
Lab Director MOHAMMAD CHAUDHRY

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