05D0548628 CLIA NUMBER - MARCOS YANG, MD

Laboratory Demographics

  • CLIA Code: 05D0548628
  • Facility Name: MARCOS YANG, MD
  • Facility Address: 310 TEJON PLACE
    PALOS VERDES ESTATES, CA
    ZIP 90274
  • Facility Phone: 310 375-2403
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCOS Y. YANG MD
  • NPI Number: 1023087392
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0548628
LAB Type Physician Office
Facility Name MARCOS YANG, MD
Street 310 TEJON PLACE
City PALOS VERDES ESTATES
State CA
ZIP 90274
Phone 310 375-2403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director MARCOS Y. YANG MD

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