05D1032199 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 05D1032199
  • Facility Name: CARELON HEALTH
  • Facility Address: 4540 E 7TH ST
    LONG BEACH, CA
    ZIP 90804
  • Facility Phone: 562 344-1150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANI EL-JAMMAL
  • NPI Number: 1619341690
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D1032199
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 4540 E 7TH ST
City LONG BEACH
State CA
ZIP 90804
Phone 562 344-1150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director HANI EL-JAMMAL

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