05D1076882 CLIA NUMBER - DAVID M REYES MEDICAL DOCTOR

Laboratory Demographics

  • CLIA Code: 05D1076882
  • Facility Name: DAVID M REYES MEDICAL DOCTOR
  • Facility Address: 657 EAST ARROW HIGHWAY SUITE G
    GLENDORA, CA
    ZIP 91740
  • Facility Phone: 626 963-1530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID M. REYES MD
  • NPI Number: 1689887622
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D1076882
LAB Type Physician Office
Facility Name DAVID M REYES MEDICAL DOCTOR
Street 657 EAST ARROW HIGHWAY SUITE G
City GLENDORA
State CA
ZIP 91740
Phone 626 963-1530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director DAVID M. REYES MD

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