05D0993022 CLIA NUMBER - LOUIS E MARCHIOLI MD INC

Laboratory Demographics

  • CLIA Code: 05D0993022
  • Facility Name: LOUIS E MARCHIOLI MD INC
  • Facility Address: 15040 IMPERIAL HWY
    LA MIRADA, CA
    ZIP 90638
  • Facility Phone: 562 698-6703
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUNGMEE KIM
  • NPI Number: 1164414603
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 05D0993022
LAB Type Physician Office
Facility Name LOUIS E MARCHIOLI MD INC
Street 15040 IMPERIAL HWY
City LA MIRADA
State CA
ZIP 90638
Phone 562 698-6703
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director JUNGMEE KIM

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