05D0988788 CLIA NUMBER - SAN GABRIEL ADHC ASSOC DBA ABC THERAPY CENTER

Laboratory Demographics

  • CLIA Code: 05D0988788
  • Facility Name: SAN GABRIEL ADHC ASSOC DBA ABC THERAPY CENTER
  • Facility Address: 1645 W VALLEY BLVD
    ALHAMBRA, CA
    ZIP 91803
  • Facility Phone: 626 570-0778
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SINGH A. BOUN, MD
  • NPI Number: 1457543118
  • Taxonomy: 261QA0600X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0988788
LAB Type Other
Facility Name SAN GABRIEL ADHC ASSOC DBA ABC THERAPY CENTER
Street 1645 W VALLEY BLVD
City ALHAMBRA
State CA
ZIP 91803
Phone 626 570-0778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Other
Lab Director SINGH A. BOUN, 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: 3/20/2025