05D2320346 CLIA NUMBER - CHARITY HEALTH

Laboratory Demographics

  • CLIA Code: 05D2320346
  • Facility Name: CHARITY HEALTH
  • Facility Address: 4075 TWEEDY BOULEVARD
    SOUTH GATE, CA
    ZIP 90280
  • Facility Phone: 323 566-4111
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ROBERT ANTHONY AZURIN
  • NPI Number: 1699509497
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2320346
LAB Type Community Clinic
Facility Name CHARITY HEALTH
Street 4075 TWEEDY BOULEVARD
City SOUTH GATE
State CA
ZIP 90280
Phone 323 566-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Community Clinic
Lab Director ROBERT ANTHONY AZURIN

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