05D0899655 CLIA NUMBER - CARDINAL MEDICAL GRP

Laboratory Demographics

  • CLIA Code: 05D0899655
  • Facility Name: CARDINAL MEDICAL GRP
  • Facility Address: 920 E PACIFIC AVE
    LONG BEACH, CA
    ZIP 90813
  • Facility Phone: 714 744-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD VALERY MD
  • NPI Number: 1104193358
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0899655
LAB Type Physician Office
Facility Name CARDINAL MEDICAL GRP
Street 920 E PACIFIC AVE
City LONG BEACH
State CA
ZIP 90813
Phone 714 744-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director HAROLD VALERY MD

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