05D0967785 CLIA NUMBER - JAMES H SONG, MD

Laboratory Demographics

  • CLIA Code: 05D0967785
  • Facility Name: JAMES H SONG, MD
  • Facility Address: 16404 COLIMA RD 1ST FL
    HACIENDA HEIGHTS, CA
    ZIP 91745
  • Facility Phone: 626 581-8330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES H. SONG MD
  • NPI Number: 1679662217
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0967785
LAB Type Physician Office
Facility Name JAMES H SONG, MD
Street 16404 COLIMA RD 1ST FL
City HACIENDA HEIGHTS
State CA
ZIP 91745
Phone 626 581-8330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director JAMES H. SONG MD

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