05D2004960 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 05D2004960
  • Facility Name: CARELON HEALTH
  • Facility Address: 15034 IMPERIAL HWY
    LA MIRADA, CA
    ZIP 90638
  • Facility Phone: 562 902-4929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERENCE RHONE
  • NPI Number: 1124490156
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2004960
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 15034 IMPERIAL HWY
City LA MIRADA
State CA
ZIP 90638
Phone 562 902-4929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director TERENCE RHONE

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