05D1059051 CLIA NUMBER - MARY CHEN, MD INC

Laboratory Demographics

  • CLIA Code: 05D1059051
  • Facility Name: MARY CHEN, MD INC
  • Facility Address: 18780 AMAR ROAD, SUITE 107
    WALNUT, CA
    ZIP 91789
  • Facility Phone: 626 810-6777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY CHEN, MD
  • NPI Number: 1568445229
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1059051
LAB Type Physician Office
Facility Name MARY CHEN, MD INC
Street 18780 AMAR ROAD, SUITE 107
City WALNUT
State CA
ZIP 91789
Phone 626 810-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director MARY CHEN, MD

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