05D0891689 CLIA NUMBER - HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0891689
  • Facility Name: HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
  • Facility Address: 2750 EAST SLAUSON AVE
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 562 988-7027
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MAYRA ROSADO
  • NPI Number: 1548445786
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0891689
LAB Type Physician Office
Facility Name HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Street 2750 EAST SLAUSON AVE
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 562 988-7027
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director MAYRA ROSADO

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