05D2113176 CLIA NUMBER - BIO-MEDICAL APPLICATIONS OF CA INC

Laboratory Demographics

CLIA Number: 05D2113176

Facility Name: BIO-MEDICAL APPLICATIONS OF CA INC

Facility Address:
1223 PACIFIC COAST HIGHWAY
HARBOR CITY, CA
ZIP 90710
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Facility Phone Number: 310 325-0416

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1740669969

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2113176
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIO-MEDICAL APPLICATIONS OF CA INC
Street	1223 PACIFIC COAST HIGHWAY
City	HARBOR CITY
State	CA
ZIP	90710
Phone	310 325-0416
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

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