05D2058501 CLIA NUMBER - HEALTHCARE PARTNERS AFFLIATES MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2058501

Facility Name: HEALTHCARE PARTNERS AFFLIATES MEDICAL GROUP

Facility Address:
1120 W WASHINGTON BLVD, 4TH FL
LOS ANGELES, CA
ZIP 90015
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Facility Phone Number: (562) 988-7027

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1033299466

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2058501
LAB Type	PHYSICIAN OFFICE
Facility Name	HEALTHCARE PARTNERS AFFLIATES MEDICAL GROUP
Street	1120 W WASHINGTON BLVD, 4TH FL
City	LOS ANGELES
State	CA
ZIP	90015
Phone	(562) 988-7027

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