Organization
DAVID KW LIEU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEN WAH LIEU M.D. (PATHOLOGIST)
(626) 281-7800
Entity
Organization
Contact information
Practice address
320 S GARFIELD AVE, # 278, ALHAMBRA, CA 91801-3886
(626) 281-7800
(626) 281-7802
Mailing address
320 S GARFIELD AVE, # 278, ALHAMBRA, CA 91801-3886
(626) 281-7800
(626) 281-7802
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 315077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0671449
CLIA
—
01
—
CLF 315077
LAB ID NUMBER
CA
05
—
LAB71449F
—
CA
Enumeration date
06/18/2006
Last updated
03/25/2020
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