05D0866251 CLIA NUMBER - PROHEALTH PARTNERS A MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0866251

Facility Name: PROHEALTH PARTNERS A MEDICAL GROUP INC

Facility Address:
5979 ATLANTIC AVE
LONG BEACH, CA
ZIP 90805
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Facility Phone Number: 562 423-0421

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1770616401

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0866251
LAB Type	Physician Office
Facility Name	PROHEALTH PARTNERS A MEDICAL GROUP INC
Street	5979 ATLANTIC AVE
City	LONG BEACH
State	CA
ZIP	90805
Phone	562 423-0421
CertificateType	3
CertificateEffectiveDate	3/25/2024
CertificateExpirationDate	3/24/2026
FacilityType	PPMP

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