05D2312729 CLIA NUMBER - EASYACCESS MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2312729
  • Facility Name: EASYACCESS MEDICAL GROUP INC
  • Facility Address: 1699 N IMPERIAL AVE
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 425-0735
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIEN VO
  • NPI Number: 1093226037
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2312729
LAB Type Physician Office
Facility Name EASYACCESS MEDICAL GROUP INC
Street 1699 N IMPERIAL AVE
City EL CENTRO
State CA
ZIP 92243
Phone 760 425-0735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director TIEN VO

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