05D2084441 CLIA NUMBER - CENTRO MEDICO EL MONTE

Laboratory Demographics

  • CLIA Code: 05D2084441
  • Facility Name: CENTRO MEDICO EL MONTE
  • Facility Address: 11635 VALLEY BLVD, STE G2
    EL MONTE, CA
    ZIP 91732
  • Facility Phone: 626 448-7575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUN, IL SHIN, MD
  • NPI Number: 1265831028
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2084441
LAB Type Physician Office
Facility Name CENTRO MEDICO EL MONTE
Street 11635 VALLEY BLVD, STE G2
City EL MONTE
State CA
ZIP 91732
Phone 626 448-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director EUN, IL SHIN, MD

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