05D0563604 CLIA NUMBER - BERWYN J LIN MD

Laboratory Demographics

  • CLIA Code: 05D0563604
  • Facility Name: BERWYN J LIN MD
  • Facility Address: 600 N GARFIELD AVE #203
    MONTEREY PARK, CA
    ZIP 91754
  • Facility Phone: 818 288-1468
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERWYN J. LIN
  • NPI Number: 1548313760
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0563604
LAB Type Physician Office
Facility Name BERWYN J LIN MD
Street 600 N GARFIELD AVE #203
City MONTEREY PARK
State CA
ZIP 91754
Phone 818 288-1468
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 BERWYN J. LIN

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