05D0937636 CLIA NUMBER - HENRY WINN MD

Laboratory Demographics

  • CLIA Code: 05D0937636
  • Facility Name: HENRY WINN MD
  • Facility Address: 15651 E IMPERIAL HIGHWAY SUITE 102B
    LA MIRADA, CA
    ZIP 90638
  • Facility Phone: 562 947-9591
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HENRY WINN MD
  • NPI Number: 1982884359
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0937636
LAB Type Physician Office
Facility Name HENRY WINN MD
Street 15651 E IMPERIAL HIGHWAY SUITE 102B
City LA MIRADA
State CA
ZIP 90638
Phone 562 947-9591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director HENRY WINN MD

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