05D2191933 CLIA NUMBER - ICARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2191933
  • Facility Name: ICARE MEDICAL GROUP
  • Facility Address: 500 N GARFIELD AVE STE 201
    MONTEREY PARK, CA
    ZIP 91754
  • Facility Phone: 626 292-5896
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN YAU
  • NPI Number: 1518593953
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2191933
LAB Type Physician Office
Facility Name ICARE MEDICAL GROUP
Street 500 N GARFIELD AVE STE 201
City MONTEREY PARK
State CA
ZIP 91754
Phone 626 292-5896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director EDWIN YAU

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