05D0918728 CLIA NUMBER - JONAH MEDICAL GROUP DBA NANOOM MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0918728
  • Facility Name: JONAH MEDICAL GROUP DBA NANOOM MEDICAL GROUP
  • Facility Address: 11637 THE PLAZA UNIT 45
    NORWALK, CA
    ZIP 90650
  • Facility Phone: 213 378-0144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN H. CHOI
  • NPI Number: 1942591847
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0918728
LAB Type Physician Office
Facility Name JONAH MEDICAL GROUP DBA NANOOM MEDICAL GROUP
Street 11637 THE PLAZA UNIT 45
City NORWALK
State CA
ZIP 90650
Phone 213 378-0144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director EDWIN H. CHOI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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