05D2071346 CLIA NUMBER - SOUTH MEDICAL CLINIC

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Laboratory Demographics

CLIA Number: 05D2071346

Facility Name: SOUTH MEDICAL CLINIC

Facility Address:
1126 E SOUTH ST
LONG BEACH, CA
ZIP 90805
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Facility Phone Number: (951) 256-6777

Facility Type: COMMUNITY CLINIC

Certificate Type: Waiver

NPI Number: 1427203785

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2071346
LAB Type	COMMUNITY CLINIC
Facility Name	SOUTH MEDICAL CLINIC
Street	1126 E SOUTH ST
City	LONG BEACH
State	CA
ZIP	90805
Phone	(951) 256-6777

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