05D0880947 CLIA NUMBER - RAY HSIAO MEDICAL OFFICE

Laboratory Demographics

  • CLIA Code: 05D0880947
  • Facility Name: RAY HSIAO MEDICAL OFFICE
  • Facility Address: 1850 S AZUSA AVENUE NUMBER 308
    HACIENDA HEIGHTS, CA
    ZIP 91745
  • Facility Phone: 626 854-7866
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAY J. HSIAO MD
  • NPI Number: 1164507869
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0880947
LAB Type Physician Office
Facility Name RAY HSIAO MEDICAL OFFICE
Street 1850 S AZUSA AVENUE NUMBER 308
City HACIENDA HEIGHTS
State CA
ZIP 91745
Phone 626 854-7866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director RAY J. HSIAO MD

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