Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premiere Clinical Laboratory, Inc

Organization Clinical Medical Laboratory · NPI 1235215641

Premiere Clinical Laboratory, Inc is a Clinical Medical Laboratory in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11900 S Avalon Blvd SUITE#100
Los Angeles, CA 90061-2837
Phone: (323) 756-1317
Fax: (323) 756-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence CLF00321668 (CA)

Record details

NPI number1235215641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Azad — Director/Owner · (323) 756-1317
NPI enumeratedOctober 27, 2006
Last updated in NPPESMay 18, 2011
Mailing address11900 South Avalon Blvd., Suite#100, Los Angeles, CA 90061-2837

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