05D1002336 CLIA NUMBER - LA PUENTE ADULT DAY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D1002336
  • Facility Name: LA PUENTE ADULT DAY HEALTH CARE
  • Facility Address: 17331 VALLEY BLVD
    LA PUENTE, CA
    ZIP 91744
  • Facility Phone: 626 369-1113
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: EDMUND FOO MD
  • NPI Number: 1780741090
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1002336
LAB Type Ambulance
Facility Name LA PUENTE ADULT DAY HEALTH CARE
Street 17331 VALLEY BLVD
City LA PUENTE
State CA
ZIP 91744
Phone 626 369-1113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Ambulance
Lab Director EDMUND FOO MD

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