05D0684450 CLIA NUMBER - BEACH ALLERGY AND ASTHMA SPECIALTY GROUP, MEDICAL CORPORATION

Laboratory Demographics

CLIA Number: 05D0684450

Facility Name: BEACH ALLERGY AND ASTHMA SPECIALTY GROUP, MEDICAL CORPORATION

Facility Address:
3816 WOODRUFF AVE, STE 209
LONG BEACH, CA
ZIP 90808
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Facility Phone Number: 562 496-4749

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902873060

Taxonomy: 207K00000X - Allergy & Immunology
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLIA Record

Field Name	Field Value
CLIA Number	05D0684450
LAB Type	Physician Office
Facility Name	BEACH ALLERGY AND ASTHMA SPECIALTY GROUP, MEDICAL CORPORATION
Street	3816 WOODRUFF AVE, STE 209
City	LONG BEACH
State	CA
ZIP	90808
Phone	562 496-4749
CertificateType	4
CertificateEffectiveDate	2/14/2023
CertificateExpirationDate	2/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024