05D2083672 CLIA NUMBER - VISAL NGA DO INC

Laboratory Demographics

  • CLIA Code: 05D2083672
  • Facility Name: VISAL NGA DO INC
  • Facility Address: 1269 E ANAHEIM ST
    LONG BEACH, CA
    ZIP 90813
  • Facility Phone: 562 599-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VISAL NGA DO VISAL, DO
  • NPI Number: 1891029781
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2083672
LAB Type Physician Office
Facility Name VISAL NGA DO INC
Street 1269 E ANAHEIM ST
City LONG BEACH
State CA
ZIP 90813
Phone 562 599-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director VISAL NGA DO VISAL, DO

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This page was last updated on: 9/29/2025