05D1018675 CLIA NUMBER - ANDREW TEPERSON MD

Laboratory Demographics

  • CLIA Code: 05D1018675
  • Facility Name: ANDREW TEPERSON MD
  • Facility Address: 1224 E AVENUE S STE A
    PALMDALE, CA
    ZIP 93550
  • Facility Phone: 661 274-8666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW TEPERSON MD
  • NPI Number: 1598705170
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1018675
LAB Type Physician Office
Facility Name ANDREW TEPERSON MD
Street 1224 E AVENUE S STE A
City PALMDALE
State CA
ZIP 93550
Phone 661 274-8666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director ANDREW TEPERSON MD

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