05D0704429 CLIA NUMBER - DAVID W WANG MD

Laboratory Demographics

  • CLIA Code: 05D0704429
  • Facility Name: DAVID W WANG MD
  • Facility Address: 210 NORTH GARFIELD AVENUE,SUITE 300
    MONTEREY PARK, CA
    ZIP 91754
  • Facility Phone: 818 289-0404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID W. WANG
  • NPI Number: 1912905787
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0704429
LAB Type Physician Office
Facility Name DAVID W WANG MD
Street 210 NORTH GARFIELD AVENUE,SUITE 300
City MONTEREY PARK
State CA
ZIP 91754
Phone 818 289-0404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DAVID W. WANG

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