05D0890221 CLIA NUMBER - STEPHAN T HONDA MD INC

Laboratory Demographics

  • CLIA Code: 05D0890221
  • Facility Name: STEPHAN T HONDA MD INC
  • Facility Address: 2301 W EL SEGUNDO BLVD
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 310 679-2236
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: STEPHAN T. HONDA
  • NPI Number: 1730672031
  • Taxonomy: 225200000X - Physical Therapy Assistant

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CLIA Record

Field Name Field Value
CLIA Number 05D0890221
LAB Type Industrial
Facility Name STEPHAN T HONDA MD INC
Street 2301 W EL SEGUNDO BLVD
City HAWTHORNE
State CA
ZIP 90250
Phone 310 679-2236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Industrial
Lab Director STEPHAN T. HONDA

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