05D2280827 CLIA NUMBER - OHANA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2280827
  • Facility Name: OHANA PEDIATRICS
  • Facility Address: 23560 MADISON ST SUITE 205
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 424 622-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN F. PHAM
  • NPI Number: 1417672569
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2280827
LAB Type Physician Office
Facility Name OHANA PEDIATRICS
Street 23560 MADISON ST SUITE 205
City TORRANCE
State CA
ZIP 90505
Phone 424 622-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director JOHN F. PHAM

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