05D0708597 CLIA NUMBER - PEREZ MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0708597
  • Facility Name: PEREZ MEDICAL GROUP INC
  • Facility Address: 15115 AMAR RD
    LA PUENTE, CA
    ZIP 91744
  • Facility Phone: 626 918-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YANIRA PEREZ, MD
  • NPI Number: 1891063442
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0708597
LAB Type Physician Office
Facility Name PEREZ MEDICAL GROUP INC
Street 15115 AMAR RD
City LA PUENTE
State CA
ZIP 91744
Phone 626 918-4700
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 YANIRA PEREZ, MD

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