05D1020073 CLIA NUMBER - MEMORIAL ORTHOPAEDIC SURGICL GROUP

Laboratory Demographics

  • CLIA Code: 05D1020073
  • Facility Name: MEMORIAL ORTHOPAEDIC SURGICL GROUP
  • Facility Address: 2760 ATLANTIC AVENUE
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 424-6666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER KURZWELL
  • NPI Number: 1255414546
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D1020073
LAB Type Physician Office
Facility Name MEMORIAL ORTHOPAEDIC SURGICL GROUP
Street 2760 ATLANTIC AVENUE
City LONG BEACH
State CA
ZIP 90806
Phone 562 424-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director PETER KURZWELL

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This page was last updated on: 3/20/2025