05D0995283 CLIA NUMBER - KIDS & TEENS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0995283
  • Facility Name: KIDS & TEENS MEDICAL GROUP
  • Facility Address: 8337 TELEGRAPH RD STE 119
    PICO RIVERA, CA
    ZIP 90660
  • Facility Phone: 818 361-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANESRI J. DE SILVA
  • NPI Number: 1548493315
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0995283
LAB Type Physician Office
Facility Name KIDS & TEENS MEDICAL GROUP
Street 8337 TELEGRAPH RD STE 119
City PICO RIVERA
State CA
ZIP 90660
Phone 818 361-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director JANESRI J. DE SILVA

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: 9/29/2025