05D2037502 CLIA NUMBER - AMABLE R AGUILUZ JR, MD

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Laboratory Demographics

CLIA Number: 05D2037502

Facility Name: AMABLE R AGUILUZ JR, MD

Facility Address:
21500 S PIONEER BLVD STE 209
HAWAIIAN GARDENS, CA
ZIP 90716
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Facility Phone Number: 562 402-4151

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598812596

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	05D2037502
LAB Type	Physician Office
Facility Name	AMABLE R AGUILUZ JR, MD
Street	21500 S PIONEER BLVD STE 209
City	HAWAIIAN GARDENS
State	CA
ZIP	90716
Phone	562 402-4151
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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