05D2198918 CLIA NUMBER - EVANGELINE G ROXAS-BUTLIG MD INC

Laboratory Demographics

  • CLIA Code: 05D2198918
  • Facility Name: EVANGELINE G ROXAS-BUTLIG MD INC
  • Facility Address: 1727 CRENSHAW BLVD
    TORRANCE, CA
    ZIP 90501
  • Facility Phone: 310 373-7855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVANGELINE ROXAS BUTLIG
  • NPI Number: 1003877531
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2198918
LAB Type Physician Office
Facility Name EVANGELINE G ROXAS-BUTLIG MD INC
Street 1727 CRENSHAW BLVD
City TORRANCE
State CA
ZIP 90501
Phone 310 373-7855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director EVANGELINE ROXAS BUTLIG

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