05D0688088 CLIA NUMBER - LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 05D0688088
  • Facility Name: LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES
  • Facility Address: 2525 GRAND AVE STE 260
    LONG BEACH, CA
    ZIP 90815
  • Facility Phone: 562 570-4080
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: LYDIA MIKHAIL PHD
  • NPI Number: 1245652270
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D0688088
LAB Type Public Health Laboratories
Facility Name LONG BEACH DEPARTMENT OF HEALTH AND HUMAN SERVICES
Street 2525 GRAND AVE STE 260
City LONG BEACH
State CA
ZIP 90815
Phone 562 570-4080
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/13/2022
Certificate Expiration Date 3/31/2025
Facility Type Public Health Laboratories
Lab Director LYDIA MIKHAIL PHD

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This page was last updated on: 3/20/2025