05D2309438 CLIA NUMBER - OAKWELL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2309438
  • Facility Name: OAKWELL PEDIATRICS
  • Facility Address: 2275 HUNTINGTON DRIVE #860
    SAN MARINO, CA
    ZIP 91108
  • Facility Phone: 626 662-0288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HENRY WU MD
  • NPI Number: 1265263198
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2309438
LAB Type Physician Office
Facility Name OAKWELL PEDIATRICS
Street 2275 HUNTINGTON DRIVE #860
City SAN MARINO
State CA
ZIP 91108
Phone 626 662-0288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director HENRY WU MD

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