05D1080509 CLIA NUMBER - TINA YANG MD MEDICAL CLINIC INC

Laboratory Demographics

CLIA Number: 05D1080509

Facility Name: TINA YANG MD MEDICAL CLINIC INC

Facility Address:
128 N OAK KNOLL AVE STE # 100
PASADENA, CA
ZIP 91101
Get Directions

Facility Phone Number: 626 795-3000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588840870

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1080509
LAB Type	Physician Office
Facility Name	TINA YANG MD MEDICAL CLINIC INC
Street	128 N OAK KNOLL AVE STE # 100
City	PASADENA
State	CA
ZIP	91101
Phone	626 795-3000
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024