05D1104524 CLIA NUMBER - SALIDA DEL SOL ADHC

Laboratory Demographics

  • CLIA Code: 05D1104524
  • Facility Name: SALIDA DEL SOL ADHC
  • Facility Address: 5350 ATLANTIC AVENUE
    LONG BEACH, CA
    ZIP 90805
  • Facility Phone: 562 269-4355
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DALE J. BRENT, MD
  • NPI Number: 1639791429
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1104524
LAB Type Other
Facility Name SALIDA DEL SOL ADHC
Street 5350 ATLANTIC AVENUE
City LONG BEACH
State CA
ZIP 90805
Phone 562 269-4355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Other
Lab Director DALE J. BRENT, MD

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