05D2034918 CLIA NUMBER - UNITED CARE FAMILY MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 05D2034918

Facility Name: UNITED CARE FAMILY MEDICAL CENTER

Facility Address:
1835 S LA CIENEGA BLVD STE 205 & 215
LOS ANGELES, CA
ZIP 90035
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Facility Phone Number: 213 383-3600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629198791

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2034918
LAB Type	Physician Office
Facility Name	UNITED CARE FAMILY MEDICAL CENTER
Street	1835 S LA CIENEGA BLVD STE 205 & 215
City	LOS ANGELES
State	CA
ZIP	90035
Phone	213 383-3600
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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