05D1075496 CLIA NUMBER - THOMAS KONG YU HSU MD INC

Laboratory Demographics

  • CLIA Code: 05D1075496
  • Facility Name: THOMAS KONG YU HSU MD INC
  • Facility Address: 1015 S NOGALES #101
    ROWLAND HEIGHTS, CA
    ZIP 91748
  • Facility Phone: 626 965-3963
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS KONG YU HSU MD
  • NPI Number: 1801972401
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1075496
LAB Type Physician Office
Facility Name THOMAS KONG YU HSU MD INC
Street 1015 S NOGALES #101
City ROWLAND HEIGHTS
State CA
ZIP 91748
Phone 626 965-3963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director THOMAS KONG YU HSU MD

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