05D0972368 CLIA NUMBER - HECTOR F LUQUE, DO INC DBA AXIS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0972368
  • Facility Name: HECTOR F LUQUE, DO INC DBA AXIS MEDICAL GROUP
  • Facility Address: 326 N SOTO ST
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 323 268-5060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HECTOR F. LUQUE DO
  • NPI Number: 1558474395
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0972368
LAB Type Physician Office
Facility Name HECTOR F LUQUE, DO INC DBA AXIS MEDICAL GROUP
Street 326 N SOTO ST
City LOS ANGELES
State CA
ZIP 90033
Phone 323 268-5060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director HECTOR F. LUQUE DO

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