05D0952174 CLIA NUMBER - DR EDGAR MARTINEZ DO, FACPS

Laboratory Demographics

  • CLIA Code: 05D0952174
  • Facility Name: DR EDGAR MARTINEZ DO, FACPS
  • Facility Address: 3512 E FLORENCE AVE STE 102 & 103
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 582-1180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDGAR I. MARTINEZ
  • NPI Number: 1225752603
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0952174
LAB Type Physician Office
Facility Name DR EDGAR MARTINEZ DO, FACPS
Street 3512 E FLORENCE AVE STE 102 & 103
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 582-1180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director EDGAR I. MARTINEZ

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