05D0972608 CLIA NUMBER - ADORACION REYES MD

Laboratory Demographics

CLIA Number: 05D0972608

Facility Name: ADORACION REYES MD

Facility Address:
1350 CHESTNUT AVE
LONG BEACH, CA
ZIP 90813
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Facility Phone Number: 562 599-1565

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528137791

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0972608
LAB Type	Physician Office
Facility Name	ADORACION REYES MD
Street	1350 CHESTNUT AVE
City	LONG BEACH
State	CA
ZIP	90813
Phone	562 599-1565
CertificateType	4
CertificateEffectiveDate	4/12/2024
CertificateExpirationDate	4/11/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024