05D2120965 CLIA NUMBER - RAY MUN LOO, MD MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2120965
  • Facility Name: RAY MUN LOO, MD MEDICAL CORPORATION
  • Facility Address: 2421 MARSHALL AVE
    IMPERIAL, CA
    ZIP 92251
  • Facility Phone: 760 545-0022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAY MUN LOO
  • NPI Number: 1770750218
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2120965
LAB Type Physician Office
Facility Name RAY MUN LOO, MD MEDICAL CORPORATION
Street 2421 MARSHALL AVE
City IMPERIAL
State CA
ZIP 92251
Phone 760 545-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director RAY MUN LOO

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