05D2274227 CLIA NUMBER - TWO WINGS HEALTH SERVICES, INC.

Laboratory Demographics

  • CLIA Code: 05D2274227
  • Facility Name: TWO WINGS HEALTH SERVICES, INC.
  • Facility Address: 22437 NORWALK BLVD
    HAWAIIAN GARDENS, CA
    ZIP 90716
  • Facility Phone: 714 875-9832
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: SU-YONG PAK
  • NPI Number: 1447725445
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2274227
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TWO WINGS HEALTH SERVICES, INC.
Street 22437 NORWALK BLVD
City HAWAIIAN GARDENS
State CA
ZIP 90716
Phone 714 875-9832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director SU-YONG PAK

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