05D2291714 CLIA NUMBER - MENDME INC

Laboratory Demographics

  • CLIA Code: 05D2291714
  • Facility Name: MENDME INC
  • Facility Address: 1135 S SUNSET ST SUITE 210
    WEST COVINA, CA
    ZIP 91790
  • Facility Phone: 626 653-9696
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH L LIN
  • NPI Number: 1558046490
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2291714
LAB Type Ambulatory Surgery Center
Facility Name MENDME INC
Street 1135 S SUNSET ST SUITE 210
City WEST COVINA
State CA
ZIP 91790
Phone 626 653-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Ambulatory Surgery Center
Lab Director JOSEPH L LIN

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