05D0934967 CLIA NUMBER - PIH HEALTH PHYSICIANS

Laboratory Demographics

  • CLIA Code: 05D0934967
  • Facility Name: PIH HEALTH PHYSICIANS
  • Facility Address: 12675 LA MIRADA BLVD, STE 201
    LA MIRADA, CA
    ZIP 90638
  • Facility Phone: 562 903-7339
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEXANDER A. MENDEZ MD
  • NPI Number: 1982857967
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0934967
LAB Type Physician Office
Facility Name PIH HEALTH PHYSICIANS
Street 12675 LA MIRADA BLVD, STE 201
City LA MIRADA
State CA
ZIP 90638
Phone 562 903-7339
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 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director ALEXANDER A. MENDEZ MD

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