05D0674894 CLIA NUMBER - BROADWAY BY THE SEA

Laboratory Demographics

  • CLIA Code: 05D0674894
  • Facility Name: BROADWAY BY THE SEA
  • Facility Address: 2725 E BROADWAY
    LONG BEACH, CA
    ZIP 90803
  • Facility Phone: 562 434-4494
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RONALD PHILIPP
  • NPI Number: 1922083435
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0674894
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROADWAY BY THE SEA
Street 2725 E BROADWAY
City LONG BEACH
State CA
ZIP 90803
Phone 562 434-4494
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 Skilled Nursing Facility/Nursing Facility
Lab Director RONALD PHILIPP

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