05D2072929 CLIA NUMBER - MACER MEDICAL

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Laboratory Demographics

CLIA Number: 05D2072929

Facility Name: MACER MEDICAL

Facility Address:
550 DEEP VALLEY DR STE 287
ROLLING HILLS ESTATES, CA
ZIP 90274
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Facility Phone Number: 310 541-8400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114295417

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	05D2072929
LAB Type	Physician Office
Facility Name	MACER MEDICAL
Street	550 DEEP VALLEY DR STE 287
City	ROLLING HILLS ESTATES
State	CA
ZIP	90274
Phone	310 541-8400
CertificateType	4
CertificateEffectiveDate	9/6/2022
CertificateExpirationDate	9/5/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024