05D2135216 CLIA NUMBER - EJW INC

Laboratory Demographics

  • CLIA Code: 05D2135216
  • Facility Name: EJW INC
  • Facility Address: 18331 GRIDLEY RD STE A
    CERRITOS, CA
    ZIP 90703
  • Facility Phone: 562 865-3738
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN EHUM
  • NPI Number: 1215472048
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2135216
LAB Type Physician Office
Facility Name EJW INC
Street 18331 GRIDLEY RD STE A
City CERRITOS
State CA
ZIP 90703
Phone 562 865-3738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2023
Certificate Expiration Date 8/15/2025
Facility Type Physician Office
Lab Director JOHN EHUM

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