05D2014864 CLIA NUMBER - JUAN C RAMIREZ, MD INC

Laboratory Demographics

  • CLIA Code: 05D2014864
  • Facility Name: JUAN C RAMIREZ, MD INC
  • Facility Address: 3355 E GAGE AVENUE
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 835-6677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN CARLOS RAMIREZ MD
  • NPI Number: 1285654350
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2014864
LAB Type Physician Office
Facility Name JUAN C RAMIREZ, MD INC
Street 3355 E GAGE AVENUE
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 835-6677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director JUAN CARLOS RAMIREZ MD

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