05D0907394 CLIA NUMBER - HEALTHY FOUNDATIONS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0907394
  • Facility Name: HEALTHY FOUNDATIONS MEDICAL GROUP
  • Facility Address: 555 W COMPTON BLVD SUITE 205
    COMPTON, CA
    ZIP 90220
  • Facility Phone: 310 223-0684
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EJIKE C. ONYEADOR, MD
  • NPI Number: 1235552886
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0907394
LAB Type Physician Office
Facility Name HEALTHY FOUNDATIONS MEDICAL GROUP
Street 555 W COMPTON BLVD SUITE 205
City COMPTON
State CA
ZIP 90220
Phone 310 223-0684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Physician Office
Lab Director EJIKE C. ONYEADOR, MD

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