05D0862262 CLIA NUMBER - TERENCE Z TAN, MD INC

Laboratory Demographics

  • CLIA Code: 05D0862262
  • Facility Name: TERENCE Z TAN, MD INC
  • Facility Address: 3301 BEECHWOOD AVE
    LYNWOOD, CA
    ZIP 90262
  • Facility Phone: 310 638-5188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERENCE T. TAN MD
  • NPI Number: 1982766382
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0862262
LAB Type Physician Office
Facility Name TERENCE Z TAN, MD INC
Street 3301 BEECHWOOD AVE
City LYNWOOD
State CA
ZIP 90262
Phone 310 638-5188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director TERENCE T. TAN MD

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