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LAKE LOS ANGELES COMMUNITY CLINIC
NPI 1164551230
Clinic/Center in Palmdale, CA

Active since March 05, 2007CLIA 05D0958505 · Waiver
16921 E AVENUE O STE G, PALMDALE, CA 93591(661) 945-8444 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Los Angeles Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE LOS ANGELES COMMUNITY CLINIC (NPI 1164551230) is a healthcare organization registered as a clinic/center in Palmdale, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Beryl Brooks, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1164551230
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOUNTY OF LOS ANGELES AUDITOR CONTROLLER
Location Address16921 E AVENUE O STE GPalmdale, CA 93591-3045
Mailing Address16921 E Avenue O Ste GPalmdale, CA 93591-3045 · (661) 945-8444
Phone(661) 945-8444
Organization SubpartYes
Authorized OfficialBeryl BrooksClinic Administrator · (661) 471-4200
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 1, 2014
✔ NPI 1164551230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
16921 E AVENUE O STE G, Palmdale, CA 93591
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Other Names 1

Doing Business AsLake Los Angeles Community Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0958505

Lake Los Angeles Community Clinic · Lake Los Angeles, CA
Active · expires Mar 18, 2027
CLIA Number05D0958505
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorGyanesh Agrawal
Laboratory Phone(661) 471-4122
Laboratory LocationLake Los Angeles Community Clinic16921 Avenue O, Ste G, Lake Los Angeles, CA 93591
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSANA DIAZ VN 218123
Licensed Vocational Nurse
16921 E AVENUE O STE G
LAKE LOS ANGELES, CA 93591
Los Angeles County (661) 225-3105
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
16921 E AVENUE O STE G
PALMDALE, CA 93591
Los Angeles County (661) 945-8444
COUNTY OF LOS ANGELES
Clinic/Center
16921 E AVENUE O STE G
PALMDALE, CA 93591
Los Angeles County (661) 945-8444
MONICA RAQUEL FLORES RN
Registered Nurse (Community Health)
16921 E AVENUE O STE G
LAKE LOS ANGELES, CA 93591
Los Angeles County (661) 225-3105
COUNTY OF LOS ANGELES
Clinic/Center
16921 E AVENUE O STE G
PALMDALE, CA 93591
Los Angeles County (661) 945-8444
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
16921 E AVENUE O STE G
PALMDALE, CA 93591
Los Angeles County (661) 945-8444
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
16921 E AVENUE O STE G
PALMDALE, CA 93591
Los Angeles County (661) 945-8444
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
16921 E AVENUE O STE G
PALMDALE, CA 93591
Los Angeles County (661) 945-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Los Angeles Auditor Controller's NPI number?

The NPI number for County Of Los Angeles Auditor Controller is 1164551230. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Lake Los Angeles Community Clinic.

Where is County Of Los Angeles Auditor Controller located?

County Of Los Angeles Auditor Controller is located at 16921 E Avenue O Ste G, Palmdale, CA 93591. The listed phone number is (661) 945-8444.

What is County Of Los Angeles Auditor Controller's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does County Of Los Angeles Auditor Controller hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0958505) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Los Angeles Auditor Controller was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.