05D1010936 CLIA NUMBER - ANTHONY CHEN MD

Laboratory Demographics

  • CLIA Code: 05D1010936
  • Facility Name: ANTHONY CHEN MD
  • Facility Address: 1850 SOUTH AZUSA AVE #102
    HACIENDA HEIGHTS, CA
    ZIP 91745
  • Facility Phone: 626 912-2682
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY C. CHEN MD
  • NPI Number: 1073527099
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1010936
LAB Type Physician Office
Facility Name ANTHONY CHEN MD
Street 1850 SOUTH AZUSA AVE #102
City HACIENDA HEIGHTS
State CA
ZIP 91745
Phone 626 912-2682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director ANTHONY C. CHEN MD

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