05D0707690 CLIA NUMBER - CHILDREN'S CLINIC FAMILY HEALTH CENTER, THE IN CENTRAL LONG BEACH

Laboratory Demographics

  • CLIA Code: 05D0707690
  • Facility Name: CHILDREN'S CLINIC FAMILY HEALTH CENTER, THE IN CENTRAL LONG BEACH
  • Facility Address: 2360 PACIFIC AVE
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 264-4658
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MARIA CHANDLER
  • NPI Number: 1760517213
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D0707690
LAB Type Federally Qualified Health Center
Facility Name CHILDREN'S CLINIC FAMILY HEALTH CENTER, THE IN CENTRAL LONG BEACH
Street 2360 PACIFIC AVE
City LONG BEACH
State CA
ZIP 90806
Phone 562 264-4658
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 Federally Qualified Health Center
Lab Director MARIA CHANDLER

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