05D2052942 CLIA NUMBER - MEMORIALCARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2052942
  • Facility Name: MEMORIALCARE MEDICAL GROUP
  • Facility Address: 2110 N. BELLFLOWER BLVD.
    LONG BEACH, CA
    ZIP 90815
  • Facility Phone: 562 346-2222
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN HARMS
  • NPI Number: 1841865409
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2052942
LAB Type Physician Office
Facility Name MEMORIALCARE MEDICAL GROUP
Street 2110 N. BELLFLOWER BLVD.
City LONG BEACH
State CA
ZIP 90815
Phone 562 346-2222
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 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director STEPHEN HARMS

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