05D0867672 CLIA NUMBER - IGNATIUS P GODOY, MD, INC

Laboratory Demographics

  • CLIA Code: 05D0867672
  • Facility Name: IGNATIUS P GODOY, MD, INC
  • Facility Address: 16660 PARAMOUNT BLVD SUITE 206
    PARAMOUNT, CA
    ZIP 90723
  • Facility Phone: 562 634-9433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IGNATIUS P. GODOY
  • NPI Number: 1326127580
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0867672
LAB Type Physician Office
Facility Name IGNATIUS P GODOY, MD, INC
Street 16660 PARAMOUNT BLVD SUITE 206
City PARAMOUNT
State CA
ZIP 90723
Phone 562 634-9433
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 IGNATIUS P. GODOY

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