05D1028070 CLIA NUMBER - LOIDA P CONSTANTINO MD MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D1028070
  • Facility Name: LOIDA P CONSTANTINO MD MEDICAL CLINIC
  • Facility Address: 1777 BELLFLOWER BLVD STE 104
    LONG BEACH, CA
    ZIP 90815
  • Facility Phone: 562 961-8820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOIDA P. CONSTANTINO
  • NPI Number: 1487767604
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1028070
LAB Type Physician Office
Facility Name LOIDA P CONSTANTINO MD MEDICAL CLINIC
Street 1777 BELLFLOWER BLVD STE 104
City LONG BEACH
State CA
ZIP 90815
Phone 562 961-8820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director LOIDA P. CONSTANTINO

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