05D2031401 CLIA NUMBER - ANGELA SIN LWAY CHAN MD INC

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Laboratory Demographics

CLIA Number: 05D2031401

Facility Name: ANGELA SIN LWAY CHAN MD INC

Facility Address:
7615 EASTERN AVE
BELL GARDENS, CA
ZIP 90201
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Facility Phone Number: 562 927-1307

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952689572

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D2031401
LAB Type	Physician Office
Facility Name	ANGELA SIN LWAY CHAN MD INC
Street	7615 EASTERN AVE
City	BELL GARDENS
State	CA
ZIP	90201
Phone	562 927-1307
CertificateType	4
CertificateEffectiveDate	10/19/2023
CertificateExpirationDate	10/18/2025
FacilityType	Waiver

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