05D2057505 CLIA NUMBER - La Paz Medical Clinic Inc

Laboratory Demographics

CLIA Number: 05D2057505

Facility Name: La Paz Medical Clinic Inc

Facility Address:
1345 E Huntington Dr,
Duarte, CA
ZIP 91010
Get Directions

Facility Phone Number: (626) 359-8604

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1124452875

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2057505
LAB Type PHYSICIAN OFFICE
Facility Name La Paz Medical Clinic Inc
Street 1345 E Huntington Dr,
City Duarte
State CA
ZIP 91010
Phone 6263598604

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/19/2019