05D2009973 CLIA NUMBER - HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2009973
  • Facility Name: HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
  • Facility Address: 5001 LAKEWOOD BLVD
    LAKEWOOD, CA
    ZIP 90712
  • Facility Phone: 562 988-7027
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HOANG THAO
  • NPI Number: 1023339165
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 05D2009973
LAB Type Physician Office
Facility Name HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Street 5001 LAKEWOOD BLVD
City LAKEWOOD
State CA
ZIP 90712
Phone 562 988-7027
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director HOANG THAO

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