05D2096173 CLIA NUMBER - L.A. ENDOCRINE CARE INC

Home > CLIA Lookup > 05D2096173

Laboratory Demographics

CLIA Number: 05D2096173

Facility Name: L.A. ENDOCRINE CARE INC

Facility Address:
3621 MARTIN LUTHER KING JR BLVD STE 1
LYNWOOD, CA
ZIP 90262
Get Directions

Facility Phone Number: 310 635-6002

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1689844979

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	05D2096173
LAB Type	Community Clinic
Facility Name	L.A. ENDOCRINE CARE INC
Street	3621 MARTIN LUTHER KING JR BLVD STE 1
City	LYNWOOD
State	CA
ZIP	90262
Phone	310 635-6002
CertificateType	4
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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