05D2065163 CLIA NUMBER - MITCHELL C. LATTER MD INC

Home > CLIA Lookup > 05D2065163

Laboratory Demographics

CLIA Number: 05D2065163

Facility Name: MITCHELL C. LATTER MD INC

Facility Address:
1499 HUNTINGTON DR STE 508
SOUTH PASADENA, CA
ZIP 91030
Get Directions

Facility Phone Number: 626 799-9588

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356469365

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	05D2065163
LAB Type	Physician Office
Facility Name	MITCHELL C. LATTER MD INC
Street	1499 HUNTINGTON DR STE 508
City	SOUTH PASADENA
State	CA
ZIP	91030
Phone	626 799-9588
CertificateType	4
CertificateEffectiveDate	9/4/2023
CertificateExpirationDate	9/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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