05D2057505 CLIA NUMBER - LA PAZ MEDICAL CLINIC INC

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Laboratory Demographics

CLIA Number: 05D2057505

Facility Name: LA PAZ MEDICAL CLINIC INC

Facility Address:
1345 E HUNTINGTON DR
DUARTE, CA
ZIP 91010
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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	(626) 359-8604

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This page was last updated on: 5/11/2023