05D0928924 CLIA NUMBER - ALTAMED MEDICAL GROUP EL MONTE

Laboratory Demographics

  • CLIA Code: 05D0928924
  • Facility Name: ALTAMED MEDICAL GROUP EL MONTE
  • Facility Address: 10418 VALLEY BLVD STE B
    EL MONTE, CA
    ZIP 91731
  • Facility Phone: 626 453-8466
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JAIME MOY
  • NPI Number: 1982814745
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0928924
LAB Type Federally Qualified Health Center
Facility Name ALTAMED MEDICAL GROUP EL MONTE
Street 10418 VALLEY BLVD STE B
City EL MONTE
State CA
ZIP 91731
Phone 626 453-8466
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Federally Qualified Health Center
Lab Director JAIME MOY

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