05D0947323 CLIA NUMBER - SEAL BEACH LEISURE WORLD

Laboratory Demographics

  • CLIA Code: 05D0947323
  • Facility Name: SEAL BEACH LEISURE WORLD
  • Facility Address: 1661 GOLDEN RAIN ROAD
    SEAL BEACH, CA
    ZIP 90740
  • Facility Phone: 562 795-6278
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUDOLF HAIDER
  • NPI Number: 1659893972
  • Taxonomy: 171100000X - Acupuncturist

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CLIA Record

Field Name Field Value
CLIA Number 05D0947323
LAB Type Physician Office
Facility Name SEAL BEACH LEISURE WORLD
Street 1661 GOLDEN RAIN ROAD
City SEAL BEACH
State CA
ZIP 90740
Phone 562 795-6278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director RUDOLF HAIDER

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