05D0943881 CLIA NUMBER - JOSE E MENDOZA MD INC

Laboratory Demographics

  • CLIA Code: 05D0943881
  • Facility Name: JOSE E MENDOZA MD INC
  • Facility Address: 5750 DOWNEY AVENUE SUITE 204
    LAKEWOOD, CA
    ZIP 90712
  • Facility Phone:
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE E. MENDOZA
  • NPI Number: 1588712541
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0943881
LAB Type Physician Office
Facility Name JOSE E MENDOZA MD INC
Street 5750 DOWNEY AVENUE SUITE 204
City LAKEWOOD
State CA
ZIP 90712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director JOSE E. MENDOZA

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