05D0901330 CLIA NUMBER - LEE G RAZALAN, MD

Laboratory Demographics

  • CLIA Code: 05D0901330
  • Facility Name: LEE G RAZALAN, MD
  • Facility Address: 2511 PACIFIC AVE
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 424-4661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEE G. RAZALAN
  • NPI Number: 1780601534
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0901330
LAB Type Physician Office
Facility Name LEE G RAZALAN, MD
Street 2511 PACIFIC AVE
City LONG BEACH
State CA
ZIP 90806
Phone 562 424-4661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director DR. LEE G. RAZALAN

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