05D2302965 CLIA NUMBER - JEY PROMED CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2302965
  • Facility Name: JEY PROMED CORPORATION
  • Facility Address: 5450 BEACH BLVD SUITE 100
    BUENA PARK, CA
    ZIP 90621
  • Facility Phone: 714 752-6273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERNARD T. MCNAMERA
  • NPI Number: 1114798170
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2302965
LAB Type Physician Office
Facility Name JEY PROMED CORPORATION
Street 5450 BEACH BLVD SUITE 100
City BUENA PARK
State CA
ZIP 90621
Phone 714 752-6273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director BERNARD T. MCNAMERA

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