05D0699424 CLIA NUMBER - ARCADE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0699424
  • Facility Name: ARCADE MEDICAL GROUP
  • Facility Address: 15852 EAST MAIN STREET
    LA PUENTE, CA
    ZIP 91744
  • Facility Phone: 626 968-0542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAGWA L. AZER MD
  • NPI Number: 1528284734
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0699424
LAB Type Physician Office
Facility Name ARCADE MEDICAL GROUP
Street 15852 EAST MAIN STREET
City LA PUENTE
State CA
ZIP 91744
Phone 626 968-0542
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 NAGWA L. AZER MD

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