05D0976874 CLIA NUMBER - ANNETT A CORONEL-PEREY, MD INC

Laboratory Demographics

  • CLIA Code: 05D0976874
  • Facility Name: ANNETT A CORONEL-PEREY, MD INC
  • Facility Address: 1045 W REDONDO BEACH BLVD,STE 100
    GARDENA, CA
    ZIP 90247
  • Facility Phone: 310 532-5558
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNETTE A. CORONEL-PEREY
  • NPI Number: 1558464818
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0976874
LAB Type Physician Office
Facility Name ANNETT A CORONEL-PEREY, MD INC
Street 1045 W REDONDO BEACH BLVD,STE 100
City GARDENA
State CA
ZIP 90247
Phone 310 532-5558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director ANNETTE A. CORONEL-PEREY

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