05D0934273 CLIA NUMBER - ST AUGUSTINE MEDICAL CENTER INC

Laboratory Demographics

  • CLIA Code: 05D0934273
  • Facility Name: ST AUGUSTINE MEDICAL CENTER INC
  • Facility Address: 210 N GARFIELD AVE, STE 212
    MONTEREY PARK, CA
    ZIP 91754
  • Facility Phone: 626 307-7311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LI LIU MD
  • NPI Number: 1184651622
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0934273
LAB Type Physician Office
Facility Name ST AUGUSTINE MEDICAL CENTER INC
Street 210 N GARFIELD AVE, STE 212
City MONTEREY PARK
State CA
ZIP 91754
Phone 626 307-7311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director LI LIU MD

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