05D1021329 CLIA NUMBER - MARLENE ROCHA FAROOQ MD

Laboratory Demographics

  • CLIA Code: 05D1021329
  • Facility Name: MARLENE ROCHA FAROOQ MD
  • Facility Address: 4300 LONG BEACH BLVD #410
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 595-6050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARLENE A. ROCHA FAROOQ MD
  • NPI Number: 1639173107
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1021329
LAB Type Physician Office
Facility Name MARLENE ROCHA FAROOQ MD
Street 4300 LONG BEACH BLVD #410
City LONG BEACH
State CA
ZIP 90807
Phone 562 595-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director MARLENE A. ROCHA FAROOQ MD

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