05D2292528 CLIA NUMBER - IMPERIAL CLINICA

Laboratory Demographics

  • CLIA Code: 05D2292528
  • Facility Name: IMPERIAL CLINICA
  • Facility Address: 423 E 2ND ST
    CALEXICO, CA
    ZIP 92231
  • Facility Phone: 760 892-5432
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAN C. DUONG
  • NPI Number: 1780838649
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2292528
LAB Type Physician Office
Facility Name IMPERIAL CLINICA
Street 423 E 2ND ST
City CALEXICO
State CA
ZIP 92231
Phone 760 892-5432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director MAN C. DUONG

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