05D0554552 CLIA NUMBER - MEMORIALCARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0554552
  • Facility Name: MEMORIALCARE MEDICAL GROUP
  • Facility Address: 3711 LONG BEACH BLVD STE 700
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 424-8422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH WEST
  • NPI Number: 1376569830
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0554552
LAB Type Physician Office
Facility Name MEMORIALCARE MEDICAL GROUP
Street 3711 LONG BEACH BLVD STE 700
City LONG BEACH
State CA
ZIP 90807
Phone 562 424-8422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director ELIZABETH WEST

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