05D2071493 CLIA NUMBER - CENTRELAKE IMAGING AND ONCOLOGY

Laboratory Demographics

  • CLIA Code: 05D2071493
  • Facility Name: CENTRELAKE IMAGING AND ONCOLOGY
  • Facility Address: 1700 W WEST COVINA PKWY
    WEST COVINA, CA
    ZIP 91790
  • Facility Phone: 626 773-7718
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANAND LAPSI, MD
  • NPI Number: 1760721112
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2071493
LAB Type Ambulatory Surgery Center
Facility Name CENTRELAKE IMAGING AND ONCOLOGY
Street 1700 W WEST COVINA PKWY
City WEST COVINA
State CA
ZIP 91790
Phone 626 773-7718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Ambulatory Surgery Center
Lab Director ANAND LAPSI, MD

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