Organization
WORKSITE LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY FRAZIER (CEO)
(661) 599-9150
Entity
Organization
Contact information
Practice address
1890 E MIRALOMA AVE STE D, PLACENTIA, CA 92870-6746
(833) 747-1122
Mailing address
65 PINE AVE STE 370, LONG BEACH, CA 90802-4718
(661) 599-9150
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05D2196230
—
CA
05
—
05D2210010
—
CA
01
—
50D2201374
WASHINGTON STATE DEPARTMENT OF HEALTH CLIA
WA
01
—
CLF-90001796
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
01
—
CLF-90002641
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
01
—
CLF-90002704
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
03/31/2021
Last updated
06/14/2024
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