05D0994483 CLIA NUMBER - PETER C CHI MD

Laboratory Demographics

  • CLIA Code: 05D0994483
  • Facility Name: PETER C CHI MD
  • Facility Address: 5828 TEMPLE CITY
    TEMPLE CITY, CA
    ZIP 91780
  • Facility Phone: 626 285-1154
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER C. CHI MD
  • NPI Number: 1023090867
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0994483
LAB Type Physician Office
Facility Name PETER C CHI MD
Street 5828 TEMPLE CITY
City TEMPLE CITY
State CA
ZIP 91780
Phone 626 285-1154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director PETER C. CHI MD

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This page was last updated on: 6/4/2025