05D0962022 CLIA NUMBER - MANUEL F MENDOZA MD INC

Laboratory Demographics

  • CLIA Code: 05D0962022
  • Facility Name: MANUEL F MENDOZA MD INC
  • Facility Address: 11735 FIRESTONE BLVD
    NORWALK, CA
    ZIP 90650
  • Facility Phone: 562 925-7716
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANUEL MENDOZA MD
  • NPI Number: 1295824654
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0962022
LAB Type Physician Office
Facility Name MANUEL F MENDOZA MD INC
Street 11735 FIRESTONE BLVD
City NORWALK
State CA
ZIP 90650
Phone 562 925-7716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director MANUEL MENDOZA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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