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05D1047140 CLIA NUMBER - LONG BEACH EDUCATION AND RESEARCH CONSULTANTS

Laboratory Demographics

CLIA Number: 05D1047140

Facility Name: LONG BEACH EDUCATION AND RESEARCH CONSULTANTS

Facility Address:
1043 ELM AVE, SUITE 301
LONG BEACH, CA
ZIP 90813
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Facility Phone Number: 562 624-4943

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1588097315

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 05D1047140
LAB Type Physician Office
Facility Name LONG BEACH EDUCATION AND RESEARCH CONSULTANTS
Street 1043 ELM AVE, SUITE 301
City LONG BEACH
State CA
ZIP 90813
Phone 562 624-4943
CertificateType 4
CertificateEffectiveDate 9/25/2022
CertificateExpirationDate 9/24/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024