05D1016759 CLIA NUMBER - EMERALD HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D1016759
  • Facility Name: EMERALD HEALTH SERVICES
  • Facility Address: 17520 CASTLETON ST STE 103
    CITY OF INDUSTRY, CA
    ZIP 91748
  • Facility Phone: 626 581-9959
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: YI WANG
  • NPI Number: 1891846671
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1016759
LAB Type Comp. Outpatient Rehab Facility
Facility Name EMERALD HEALTH SERVICES
Street 17520 CASTLETON ST STE 103
City CITY OF INDUSTRY
State CA
ZIP 91748
Phone 626 581-9959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2023
Certificate Expiration Date 9/4/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director YI WANG

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This page was last updated on: 6/4/2025