05D1047663 CLIA NUMBER - RALPH MAYER, MD

Laboratory Demographics

  • CLIA Code: 05D1047663
  • Facility Name: RALPH MAYER, MD
  • Facility Address: 2568 CLARENDON
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 582-5444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RALPH MAYER
  • NPI Number: 1194866525
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1047663
LAB Type Physician Office
Facility Name RALPH MAYER, MD
Street 2568 CLARENDON
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 582-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director RALPH MAYER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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