05D0955906 CLIA NUMBER - TERRISA S HA MEDICAL OFFICE

Laboratory Demographics

  • CLIA Code: 05D0955906
  • Facility Name: TERRISA S HA MEDICAL OFFICE
  • Facility Address: 5451 LA PALMA AVENUE #49
    LA PALMA, CA
    ZIP 90623
  • Facility Phone: 714 736-9918
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TERRISA HA MD
  • NPI Number: 1083675516
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0955906
LAB Type Physician Office
Facility Name TERRISA S HA MEDICAL OFFICE
Street 5451 LA PALMA AVENUE #49
City LA PALMA
State CA
ZIP 90623
Phone 714 736-9918
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 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director TERRISA HA MD

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