05D2328768 CLIA NUMBER - WESLEY HEALTH CENTER AT MIDNIGHT MISSION

Laboratory Demographics

  • CLIA Code: 05D2328768
  • Facility Name: WESLEY HEALTH CENTER AT MIDNIGHT MISSION
  • Facility Address: 601 S SAN PEDRO ST
    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: 1144685819
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2328768
LAB Type Federally Qualified Health Center
Facility Name WESLEY HEALTH CENTER AT MIDNIGHT MISSION
Street 601 S SAN PEDRO ST
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 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Federally Qualified Health Center
Lab Director PAUL GREGERSON

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