05D0551584 CLIA NUMBER - KIDS AND TEENS MEDICAL GROUP JANESRI DE SILVA, MD

Laboratory Demographics

  • CLIA Code: 05D0551584
  • Facility Name: KIDS AND TEENS MEDICAL GROUP JANESRI DE SILVA, MD
  • Facility Address: 13470 TELEGRAPH ROAD
    WHITTIER, CA
    ZIP 90605
  • Facility Phone: 818 361-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JANESRI W. DE SILVA
  • NPI Number: 1568502953
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0551584
LAB Type Physician Office
Facility Name KIDS AND TEENS MEDICAL GROUP JANESRI DE SILVA, MD
Street 13470 TELEGRAPH ROAD
City WHITTIER
State CA
ZIP 90605
Phone 818 361-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. JANESRI W. DE SILVA

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