05D2195652 CLIA NUMBER - ANGELES DEL SOL ADHC

Laboratory Demographics

  • CLIA Code: 05D2195652
  • Facility Name: ANGELES DEL SOL ADHC
  • Facility Address: 820 N DIAMOND BAR BLVD
    DIAMOND BAR, CA
    ZIP 91765
  • Facility Phone: 626 322-2777
  • Facility Type: Other - ADULT DAY HEALTH CARE CEN
  • Facility Type: Waiver
  • Lab Director: DEJUN WANG
  • NPI Number: 1023852993
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2195652
LAB Type Other - ADULT DAY HEALTH CARE CEN
Facility Name ANGELES DEL SOL ADHC
Street 820 N DIAMOND BAR BLVD
City DIAMOND BAR
State CA
ZIP 91765
Phone 626 322-2777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Other - ADULT DAY HEALTH CARE CEN
Lab Director DEJUN WANG

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