05D2031408 CLIA NUMBER - REX MEDICAL GROUP, INC DBA REX MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 05D2031408
  • Facility Name: REX MEDICAL GROUP, INC DBA REX MEDICAL CARE
  • Facility Address: 1161 HUNTINGTON DR
    DUARTE, CA
    ZIP 91010
  • Facility Phone: 626 359-6727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOAMAN HANIF
  • NPI Number: 1962704270
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2031408
LAB Type Physician Office
Facility Name REX MEDICAL GROUP, INC DBA REX MEDICAL CARE
Street 1161 HUNTINGTON DR
City DUARTE
State CA
ZIP 91010
Phone 626 359-6727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director NOAMAN HANIF

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