05D2311816 CLIA NUMBER - SANDRA NIETO, MD

Laboratory Demographics

  • CLIA Code: 05D2311816
  • Facility Name: SANDRA NIETO, MD
  • Facility Address: 433 N ST STE # 211
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 786-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA NIETO
  • NPI Number: 1003830258
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2311816
LAB Type Physician Office
Facility Name SANDRA NIETO, MD
Street 433 N ST STE # 211
City MONTEBELLO
State CA
ZIP 90640
Phone 323 786-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director SANDRA NIETO

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