05D1090811 CLIA NUMBER - DEJUN WANG MD INC

Laboratory Demographics

  • CLIA Code: 05D1090811
  • Facility Name: DEJUN WANG MD INC
  • Facility Address: 19115 COLIMA RD #104
    ROWLAND HEIGHTS, CA
    ZIP 91748
  • Facility Phone: 626 810-2983
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEJUN WANG
  • NPI Number: 1275559288
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1090811
LAB Type Physician Office
Facility Name DEJUN WANG MD INC
Street 19115 COLIMA RD #104
City ROWLAND HEIGHTS
State CA
ZIP 91748
Phone 626 810-2983
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director DEJUN WANG

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