05D2110243 CLIA NUMBER - MAJESTIC MEDICAL CLINIC, INC

Laboratory Demographics

CLIA Number: 05D2110243

Facility Name: MAJESTIC MEDICAL CLINIC, INC

Facility Address:
817 ATLANTIC AVE
LONG BEACH, CA
ZIP 90813
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Facility Phone Number: 562 453-5236

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083079289

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	05D2110243
LAB Type	Physician Office
Facility Name	MAJESTIC MEDICAL CLINIC, INC
Street	817 ATLANTIC AVE
City	LONG BEACH
State	CA
ZIP	90813
Phone	562 453-5236
CertificateType	4
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	Waiver

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