05D2054703 CLIA NUMBER - DAVID D RICHARDSON MD INC

Laboratory Demographics

  • CLIA Code: 05D2054703
  • Facility Name: DAVID D RICHARDSON MD INC
  • Facility Address: 2020 HUNTINGTON DR
    SAN MARINO, CA
    ZIP 91108
  • Facility Phone: 626 289-7856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID D. RICHARDSON
  • NPI Number: 1578553921
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2054703
LAB Type Physician Office
Facility Name DAVID D RICHARDSON MD INC
Street 2020 HUNTINGTON DR
City SAN MARINO
State CA
ZIP 91108
Phone 626 289-7856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director DAVID D. RICHARDSON

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