05D0963494 CLIA NUMBER - ESTRELLA A AGUINALDO MD INC

Laboratory Demographics

  • CLIA Code: 05D0963494
  • Facility Name: ESTRELLA A AGUINALDO MD INC
  • Facility Address: 23517 S MAIN ST STE 104
    CARSON, CA
    ZIP 90745
  • Facility Phone: 310 233-2555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ESTRELLA A. AGUINALDO MD
  • NPI Number: 1548339278
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0963494
LAB Type Physician Office
Facility Name ESTRELLA A AGUINALDO MD INC
Street 23517 S MAIN ST STE 104
City CARSON
State CA
ZIP 90745
Phone 310 233-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director ESTRELLA A. AGUINALDO MD

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