05D0554782 CLIA NUMBER - CHILDREN'S CLINIC FAMILY HEALTH CENTER, THE WESTSIDE

Laboratory Demographics

  • CLIA Code: 05D0554782
  • Facility Name: CHILDREN'S CLINIC FAMILY HEALTH CENTER, THE WESTSIDE
  • Facility Address: 2125 SANTA FE AVENUE
    LONG BEACH, CA
    ZIP 90810
  • Facility Phone: 562 264-4859
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MARIA CHANDLER MD
  • NPI Number: 1053546887
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0554782
LAB Type Federally Qualified Health Center
Facility Name CHILDREN'S CLINIC FAMILY HEALTH CENTER, THE WESTSIDE
Street 2125 SANTA FE AVENUE
City LONG BEACH
State CA
ZIP 90810
Phone 562 264-4859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Federally Qualified Health Center
Lab Director MARIA CHANDLER MD

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