05D2000114 CLIA NUMBER - ONE IN LONG BEACH, INC DBA THE LGBTQ CENTER LONG BEACH

Laboratory Demographics

  • CLIA Code: 05D2000114
  • Facility Name: ONE IN LONG BEACH, INC DBA THE LGBTQ CENTER LONG BEACH
  • Facility Address: 2017 E 4TH STREET
    LONG BEACH, CA
    ZIP 90814
  • Facility Phone: 562 434-4455
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ODRIN CASTILLO
  • NPI Number: 1730504531
  • Taxonomy: 225400000X - Rehabilitation Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2000114
LAB Type Other
Facility Name ONE IN LONG BEACH, INC DBA THE LGBTQ CENTER LONG BEACH
Street 2017 E 4TH STREET
City LONG BEACH
State CA
ZIP 90814
Phone 562 434-4455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Other
Lab Director ODRIN CASTILLO

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