05D2126830 CLIA NUMBER - BURROWS FAMILY PRACTICE INC

Laboratory Demographics

  • CLIA Code: 05D2126830
  • Facility Name: BURROWS FAMILY PRACTICE INC
  • Facility Address: 1377 S GRAND AVE STE 1
    GLENDORA, CA
    ZIP 91740
  • Facility Phone: 626 483-3348
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLIVER M. BURROWS
  • NPI Number: 1003361890
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2126830
LAB Type Physician Office
Facility Name BURROWS FAMILY PRACTICE INC
Street 1377 S GRAND AVE STE 1
City GLENDORA
State CA
ZIP 91740
Phone 626 483-3348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director OLIVER M. BURROWS

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