05D2150079 CLIA NUMBER - SHANG WU, M.D. INC.

Laboratory Demographics

  • CLIA Code: 05D2150079
  • Facility Name: SHANG WU, M.D. INC.
  • Facility Address: 3141 S HACIENDA BLVD
    HACIENDA HEIGHTS, CA
    ZIP 91745
  • Facility Phone: 626 937-6663
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANG WU, MD
  • NPI Number: 1336228253
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2150079
LAB Type Physician Office
Facility Name SHANG WU, M.D. INC.
Street 3141 S HACIENDA BLVD
City HACIENDA HEIGHTS
State CA
ZIP 91745
Phone 626 937-6663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director SHANG WU, MD

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