05D1060478 CLIA NUMBER - BROOKDALE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D1060478

Facility Name: BROOKDALE MEDICAL CENTER

Facility Address:
2809 TWEEDY BLVD
SOUTH GATE, CA
ZIP 90280
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Facility Phone Number: 353 567-9909

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1265572903

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	05D1060478
LAB Type	Physician Office
Facility Name	BROOKDALE MEDICAL CENTER
Street	2809 TWEEDY BLVD
City	SOUTH GATE
State	CA
ZIP	90280
Phone	353 567-9909
CertificateType	3
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	PPMP

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