05D0554537 CLIA NUMBER - PROHEALTH PARTNERS A MEDICAL GRP INC

Laboratory Demographics

CLIA Number: 05D0554537

Facility Name: PROHEALTH PARTNERS A MEDICAL GRP INC

Facility Address:
911 E SAN ANTONIO DR STE 1
LONG BEACH, CA
ZIP 90807
Get Directions

Facility Phone Number: 562 423-0436

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1114050218

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0554537
LAB Type	Physician Office
Facility Name	PROHEALTH PARTNERS A MEDICAL GRP INC
Street	911 E SAN ANTONIO DR STE 1
City	LONG BEACH
State	CA
ZIP	90807
Phone	562 423-0436
CertificateType	3
CertificateEffectiveDate	10/7/2022
CertificateExpirationDate	10/6/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024