05D0994453 CLIA NUMBER - LONG BEACH INTERNAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0994453
  • Facility Name: LONG BEACH INTERNAL MEDICAL GROUP
  • Facility Address: 2650 ELM AVENUE #309
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 595-8549
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN W. HRYNIEWICKI MD
  • NPI Number: 1861601981
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0994453
LAB Type Physician Office
Facility Name LONG BEACH INTERNAL MEDICAL GROUP
Street 2650 ELM AVENUE #309
City LONG BEACH
State CA
ZIP 90806
Phone 562 595-8549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director STEPHEN W. HRYNIEWICKI MD

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