05D2084497 CLIA NUMBER - HENRY KAW, MD INC

Laboratory Demographics

  • CLIA Code: 05D2084497
  • Facility Name: HENRY KAW, MD INC
  • Facility Address: 321 N POMONA AVE STE B
    FULLERTON, CA
    ZIP 92832
  • Facility Phone: 714 462-8383
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HENRY R. KAW, MD
  • NPI Number: 1215022967
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2084497
LAB Type Physician Office
Facility Name HENRY KAW, MD INC
Street 321 N POMONA AVE STE B
City FULLERTON
State CA
ZIP 92832
Phone 714 462-8383
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director HENRY R. KAW, MD

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