05D2269470 CLIA NUMBER - JML MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2269470
  • Facility Name: JML MEDICAL GROUP
  • Facility Address: 4200 PECK ROAD
    EL MONTE, CA
    ZIP 91732
  • Facility Phone: 626 350-5073
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO LARES
  • NPI Number: 1164186318
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2269470
LAB Type Physician Office
Facility Name JML MEDICAL GROUP
Street 4200 PECK ROAD
City EL MONTE
State CA
ZIP 91732
Phone 626 350-5073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director EDUARDO LARES

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