05D2012030 CLIA NUMBER - LOS ANGELES FAMILY MEDICAL SERVICES INC

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Laboratory Demographics

CLIA Number: 05D2012030

Facility Name: LOS ANGELES FAMILY MEDICAL SERVICES INC

Facility Address:
3410 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023
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Facility Phone Number: 323 265-3060

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659697514

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	05D2012030
LAB Type	Physician Office
Facility Name	LOS ANGELES FAMILY MEDICAL SERVICES INC
Street	3410 WHITTIER BLVD
City	LOS ANGELES
State	CA
ZIP	90023
Phone	323 265-3060
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

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