05D2305366 CLIA NUMBER - HENMED GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D2305366
  • Facility Name: HENMED GROUP, INC
  • Facility Address: 10916 RIVERSIDE DR
    TOLUCA LAKE, CA
    ZIP 91602
  • Facility Phone: 818 210-0281
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HENRY HUNG
  • NPI Number: 1962103952
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2305366
LAB Type Physician Office
Facility Name HENMED GROUP, INC
Street 10916 RIVERSIDE DR
City TOLUCA LAKE
State CA
ZIP 91602
Phone 818 210-0281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director HENRY HUNG

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