05D0998614 CLIA NUMBER - LOURDES F SISON MD

Laboratory Demographics

  • CLIA Code: 05D0998614
  • Facility Name: LOURDES F SISON MD
  • Facility Address: 905 SAN ANTONIO DR
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 728-9572
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOURDES F. SISON MD
  • NPI Number: 1497820732
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0998614
LAB Type Physician Office
Facility Name LOURDES F SISON MD
Street 905 SAN ANTONIO DR
City LONG BEACH
State CA
ZIP 90807
Phone 562 728-9572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director LOURDES F. SISON MD

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