05D0687202 CLIA NUMBER - LONG BEACH MEMORIAL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D0687202

Facility Name: LONG BEACH MEMORIAL MEDICAL CENTER

Facility Address:
2865 ATLANTIC AVE STE 110
LONG BEACH, CA
ZIP 90806
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Facility Phone Number: 562 933-0590

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1750503017

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0687202
LAB Type	Community Clinic
Facility Name	LONG BEACH MEMORIAL MEDICAL CENTER
Street	2865 ATLANTIC AVE STE 110
City	LONG BEACH
State	CA
ZIP	90806
Phone	562 933-0590
CertificateType	3
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	PPMP

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