05D0916038 CLIA NUMBER - ISKANDER MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D0916038
  • Facility Name: ISKANDER MEDICAL GROUP, INC
  • Facility Address: 4477 W 118 STREET, #301
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 310 978-8026
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONA Y. ISKANDER
  • NPI Number: 1245420199
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0916038
LAB Type Physician Office
Facility Name ISKANDER MEDICAL GROUP, INC
Street 4477 W 118 STREET, #301
City HAWTHORNE
State CA
ZIP 90250
Phone 310 978-8026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director MONA Y. ISKANDER

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