05D0060297 CLIA NUMBER - GLENDORA HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0060297
  • Facility Name: GLENDORA HOSPITAL
  • Facility Address: 150 W ROUTE 66
    GLENDORA, CA
    ZIP 91740
  • Facility Phone: 626 852-5000
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: LUKE R. WATSON
  • NPI Number: 1750748331
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 05D0060297
LAB Type Ancillary Testing Site in Health Care Center
Facility Name GLENDORA HOSPITAL
Street 150 W ROUTE 66
City GLENDORA
State CA
ZIP 91740
Phone 626 852-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director LUKE R. WATSON

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