05D1000027 CLIA NUMBER - UMALI MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D1000027
  • Facility Name: UMALI MEDICAL CLINIC
  • Facility Address: 22621 LYONS AVE
    NEWHALL, CA
    ZIP 91322
  • Facility Phone: 661 964-0597
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA A. UMALI MD
  • NPI Number: 1437494432
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1000027
LAB Type Physician Office
Facility Name UMALI MEDICAL CLINIC
Street 22621 LYONS AVE
City NEWHALL
State CA
ZIP 91322
Phone 661 964-0597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director SANDRA A. UMALI MD

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