05D1069338 CLIA NUMBER - KIDS AND TEENS MEDICAL GROUP - JANESRI DE SILVA, MD

Laboratory Demographics

  • CLIA Code: 05D1069338
  • Facility Name: KIDS AND TEENS MEDICAL GROUP - JANESRI DE SILVA, MD
  • Facility Address: 11525 BROOKSHIRE AVE STE 302
    DOWNEY, CA
    ZIP 90241
  • Facility Phone: 818 361-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANESRI DE SILVA
  • NPI Number: 1386682623
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1069338
LAB Type Physician Office
Facility Name KIDS AND TEENS MEDICAL GROUP - JANESRI DE SILVA, MD
Street 11525 BROOKSHIRE AVE STE 302
City DOWNEY
State CA
ZIP 90241
Phone 818 361-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director JANESRI DE SILVA

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