05D0901797 CLIA NUMBER - LONG BEACH CITY COLLEGE

Laboratory Demographics

  • CLIA Code: 05D0901797
  • Facility Name: LONG BEACH CITY COLLEGE
  • Facility Address: 4901 E CARSON ST A1010
    LONG BEACH, CA
    ZIP 90808
  • Facility Phone: 562 938-4210
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DIONISIO DABU
  • NPI Number: 1205281078
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0901797
LAB Type School/Student Health Service
Facility Name LONG BEACH CITY COLLEGE
Street 4901 E CARSON ST A1010
City LONG BEACH
State CA
ZIP 90808
Phone 562 938-4210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type School/Student Health Service
Lab Director DIONISIO DABU

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