05D0564501 CLIA NUMBER - WILLIAMS OB GYN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D0564501
  • Facility Name: WILLIAMS OB GYN ASSOCIATES
  • Facility Address: 1334 W COVINA BLVD SUITE 102
    SAN DIMAS, CA
    ZIP 91773
  • Facility Phone: 818 915-3702
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD A. WILLIAMS
  • NPI Number: 1710118138
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 05D0564501
LAB Type Physician Office
Facility Name WILLIAMS OB GYN ASSOCIATES
Street 1334 W COVINA BLVD SUITE 102
City SAN DIMAS
State CA
ZIP 91773
Phone 818 915-3702
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RICHARD A. WILLIAMS

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This page was last updated on: 6/4/2025