05D0554868 CLIA NUMBER - BAO QUOC LE MD INC

Laboratory Demographics

  • CLIA Code: 05D0554868
  • Facility Name: BAO QUOC LE MD INC
  • Facility Address: 2944 E ANAHEIM ST
    LONG BEACH, CA
    ZIP 90804
  • Facility Phone: 310 599-5777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAO Q. LE
  • NPI Number: 1013223072
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0554868
LAB Type Physician Office
Facility Name BAO QUOC LE MD INC
Street 2944 E ANAHEIM ST
City LONG BEACH
State CA
ZIP 90804
Phone 310 599-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BAO Q. LE

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