05D0555048 CLIA NUMBER - RONALD J PHILIPP DO

Laboratory Demographics

  • CLIA Code: 05D0555048
  • Facility Name: RONALD J PHILIPP DO
  • Facility Address: 2255 NORTH LAKEWOOD BOULEVARD
    LONG BEACH, CA
    ZIP 90815
  • Facility Phone: 562 498-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD J. PHILIPP
  • NPI Number: 1104856152
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D0555048
LAB Type Physician Office
Facility Name RONALD J PHILIPP DO
Street 2255 NORTH LAKEWOOD BOULEVARD
City LONG BEACH
State CA
ZIP 90815
Phone 562 498-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director RONALD J. PHILIPP

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