05D0997803 CLIA NUMBER - PREFERRED MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0997803
  • Facility Name: PREFERRED MEDICAL GROUP INC
  • Facility Address: 1234 SOUTH GARFIELD AVENUE SUITE #103
    ALHAMBRA, CA
    ZIP 91801
  • Facility Phone: 626 576-7871
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT W. CHAN MD
  • NPI Number: 1891985289
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0997803
LAB Type Physician Office
Facility Name PREFERRED MEDICAL GROUP INC
Street 1234 SOUTH GARFIELD AVENUE SUITE #103
City ALHAMBRA
State CA
ZIP 91801
Phone 626 576-7871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director ROBERT W. CHAN MD

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