05D1009528 CLIA NUMBER - WILLIAM BAO MD INC

Laboratory Demographics

  • CLIA Code: 05D1009528
  • Facility Name: WILLIAM BAO MD INC
  • Facility Address: 17595 ALMAHURST ST SUITE 202
    CITY OF INDUSTRY, CA
    ZIP 91748
  • Facility Phone: 626 581-4990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM W. BAO MD
  • NPI Number: 1477639789
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1009528
LAB Type Physician Office
Facility Name WILLIAM BAO MD INC
Street 17595 ALMAHURST ST SUITE 202
City CITY OF INDUSTRY
State CA
ZIP 91748
Phone 626 581-4990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director WILLIAM W. BAO MD

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