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05D0867708 CLIA NUMBER - MANUEL I FIGUEROA, MD

Laboratory Demographics

CLIA Number: 05D0867708

Facility Name: MANUEL I FIGUEROA, MD

Facility Address:
816 S INDIANA STREET
LOS ANGELES, CA
ZIP 90023
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Facility Phone Number: 213 262-5432

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1770679102

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 05D0867708
LAB Type Physician Office
Facility Name MANUEL I FIGUEROA, MD
Street 816 S INDIANA STREET
City LOS ANGELES
State CA
ZIP 90023
Phone 213 262-5432
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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