05D1050629 CLIA NUMBER - IRENE A MALEK MD, A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1050629
  • Facility Name: IRENE A MALEK MD, A PROFESSIONAL CORPORATION
  • Facility Address: 3610 ATLANTIC AVE
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 492-9288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRENE A. MALEK
  • NPI Number: 1316984248
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1050629
LAB Type Physician Office
Facility Name IRENE A MALEK MD, A PROFESSIONAL CORPORATION
Street 3610 ATLANTIC AVE
City LONG BEACH
State CA
ZIP 90807
Phone 562 492-9288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director IRENE A. MALEK

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