05D2099419 CLIA NUMBER - ALEXANDRA CHRYSANTHIS MD

Laboratory Demographics

  • CLIA Code: 05D2099419
  • Facility Name: ALEXANDRA CHRYSANTHIS MD
  • Facility Address: 10861 CHERRY ST STE 210
    LOS ALAMITOS, CA
    ZIP 90720
  • Facility Phone: 562 795-6406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA A. CHRYSANTHIS
  • NPI Number: 1588734974
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2099419
LAB Type Physician Office
Facility Name ALEXANDRA CHRYSANTHIS MD
Street 10861 CHERRY ST STE 210
City LOS ALAMITOS
State CA
ZIP 90720
Phone 562 795-6406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2023
Certificate Expiration Date 7/26/2025
Facility Type Physician Office
Lab Director ALEXANDRA A. CHRYSANTHIS

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This page was last updated on: 3/20/2025