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05D1048689 CLIA NUMBER - MLS CLINICAL & MEDICAL CORP MARTHA L RODRIGUEZ, MD

Laboratory Demographics

CLIA Number: 05D1048689

Facility Name: MLS CLINICAL & MEDICAL CORP MARTHA L RODRIGUEZ, MD

Facility Address:
8530 FLORENCE AVENUE, SUITE 101
DOWNEY, CA
ZIP 90240
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Facility Phone Number: 562 928-4642

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1912146887

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 05D1048689
LAB Type Physician Office
Facility Name MLS CLINICAL & MEDICAL CORP MARTHA L RODRIGUEZ, MD
Street 8530 FLORENCE AVENUE, SUITE 101
City DOWNEY
State CA
ZIP 90240
Phone 562 928-4642
CertificateType 4
CertificateEffectiveDate 12/7/2023
CertificateExpirationDate 12/6/2025
FacilityType Waiver

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