05D0917766 CLIA NUMBER - PIH HEALTH PHYSICIANS

Laboratory Demographics

  • CLIA Code: 05D0917766
  • Facility Name: PIH HEALTH PHYSICIANS
  • Facility Address: 1850 S AZUSA AVE, STE 300
    HACIENDA HEIGHTS, CA
    ZIP 91745
  • Facility Phone: 626 964-6012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERNESTO G. ONG MD
  • NPI Number: 1811376502
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0917766
LAB Type Physician Office
Facility Name PIH HEALTH PHYSICIANS
Street 1850 S AZUSA AVE, STE 300
City HACIENDA HEIGHTS
State CA
ZIP 91745
Phone 626 964-6012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director ERNESTO G. ONG MD

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