CLINICA MEDICA SAN JUDAS TADEO
NPI 1962139568
Clinic/Center - Community Health in Inglewood, CA
About Clinica Medica San Judas Tadeo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA MEDICA SAN JUDAS TADEO (NPI 1962139568) is a healthcare organization registered as a community health in Inglewood, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Odilia Walsh, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2301174
- Facility Type
- Community Clinic
- Certificate Effective Date
- March 21, 2026
- Certificate Expiration Date
- March 20, 2028
- Laboratory Director
- RICHARD KEECH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clinica Medica San Judas Tadeo to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962139568, enumerated as an "organization" on August 03, 2022.
The provider is located at 501 E HARDY ST STE 110 INGLEWOOD, CA 90301 and the phone number is (424) 800-2124.
Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.
