05D2281543 CLIA NUMBER - RUBEN S. CASABAR, M.D INC

Laboratory Demographics

  • CLIA Code: 05D2281543
  • Facility Name: RUBEN S. CASABAR, M.D INC
  • Facility Address: 6021 ATLANTIC BLVD
    MAYWOOD, CA
    ZIP 90270
  • Facility Phone: 323 484-9590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUBEN S. CASABAR
  • NPI Number: 1649425026
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2281543
LAB Type Physician Office
Facility Name RUBEN S. CASABAR, M.D INC
Street 6021 ATLANTIC BLVD
City MAYWOOD
State CA
ZIP 90270
Phone 323 484-9590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director RUBEN S. CASABAR

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