05D2328172 CLIA NUMBER - LA CANADA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2328172
  • Facility Name: LA CANADA MEDICAL GROUP
  • Facility Address: 1150 FOOTHILL BLVD STE C
    LA CANADA FLINTRIDGE, CA
    ZIP 91011
  • Facility Phone: 818 369-7848
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AARON I LUNG JENG
  • NPI Number: 1285114157
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2328172
LAB Type Practitioner Other
Facility Name LA CANADA MEDICAL GROUP
Street 1150 FOOTHILL BLVD STE C
City LA CANADA FLINTRIDGE
State CA
ZIP 91011
Phone 818 369-7848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Practitioner Other
Lab Director AARON I LUNG JENG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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