05D2094072 CLIA NUMBER - MARCO A. MARTINEZ, M.D. INC

Laboratory Demographics

  • CLIA Code: 05D2094072
  • Facility Name: MARCO A. MARTINEZ, M.D. INC
  • Facility Address: 4566 FLORENCE AVE STE 5
    CUDAHY, CA
    ZIP 90201
  • Facility Phone: 323 771-7466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCO A. MARTINEZ, MD
  • NPI Number: 1134447089
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2094072
LAB Type Physician Office
Facility Name MARCO A. MARTINEZ, M.D. INC
Street 4566 FLORENCE AVE STE 5
City CUDAHY
State CA
ZIP 90201
Phone 323 771-7466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director MARCO A. MARTINEZ, MD

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