05D2084441 CLIA NUMBER - CENTRO MEDICO EL MONTE

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Laboratory Demographics

CLIA Number: 05D2084441

Facility Name: CENTRO MEDICO EL MONTE

Facility Address:
11635 VALLEY BLVD, STE G2
EL MONTE, CA
ZIP 91732
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Facility Phone Number: 626 448-7575

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265831028

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	05D2084441
LAB Type	Physician Office
Facility Name	CENTRO MEDICO EL MONTE
Street	11635 VALLEY BLVD, STE G2
City	EL MONTE
State	CA
ZIP	91732
Phone	626 448-7575
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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