05D0540425 CLIA NUMBER - RENATO MUNGCAL MD

Laboratory Demographics

  • CLIA Code: 05D0540425
  • Facility Name: RENATO MUNGCAL MD
  • Facility Address: 133 S VERMONT AVENUE
    LOS ANGELES, CA
    ZIP 90004
  • Facility Phone: 213 480-0748
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RENATO V. MUNGCAL
  • NPI Number: 1750555413
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0540425
LAB Type Physician Office
Facility Name RENATO MUNGCAL MD
Street 133 S VERMONT AVENUE
City LOS ANGELES
State CA
ZIP 90004
Phone 213 480-0748
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director RENATO V. MUNGCAL

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