05D2039566 CLIA NUMBER - FHCCGLA DOWNEY FAMILY MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 05D2039566

Facility Name: FHCCGLA DOWNEY FAMILY MEDICAL CENTER

Facility Address:
12113 WOODRUFF AVE
DOWNEY, CA
ZIP 90241
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Facility Phone Number: 562 928-9600

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1790051423

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2039566
LAB Type	Community Clinic
Facility Name	FHCCGLA DOWNEY FAMILY MEDICAL CENTER
Street	12113 WOODRUFF AVE
City	DOWNEY
State	CA
ZIP	90241
Phone	562 928-9600
CertificateType	3
CertificateEffectiveDate	4/12/2024
CertificateExpirationDate	4/11/2026
FacilityType	PPMP

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