05D0715103 CLIA NUMBER - CONSTANT K S CHAN MD INC

Laboratory Demographics

  • CLIA Code: 05D0715103
  • Facility Name: CONSTANT K S CHAN MD INC
  • Facility Address: 10007 STATE ST
    LYNWOOD, CA
    ZIP 90262
  • Facility Phone: 323 566-3157
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONSTANT K. CHAN
  • NPI Number: 1730195645
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0715103
LAB Type Physician Office
Facility Name CONSTANT K S CHAN MD INC
Street 10007 STATE ST
City LYNWOOD
State CA
ZIP 90262
Phone 323 566-3157
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 CONSTANT K. CHAN

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