05D0555414 CLIA NUMBER - GEORGETTE TADROS MD

Laboratory Demographics

  • CLIA Code: 05D0555414
  • Facility Name: GEORGETTE TADROS MD
  • Facility Address: 931 BUENA VISTA AVE SUITE #202
    DUARTE, CA
    ZIP 91010
  • Facility Phone: 626 301-1515
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: GEORGETTE TADROS MD
  • NPI Number: 1598869018
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0555414
LAB Type Independent
Facility Name GEORGETTE TADROS MD
Street 931 BUENA VISTA AVE SUITE #202
City DUARTE
State CA
ZIP 91010
Phone 626 301-1515
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 Independent
Lab Director GEORGETTE TADROS MD

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