05D2124395 CLIA NUMBER - MEMORIAL CARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2124395
  • Facility Name: MEMORIAL CARE MEDICAL GROUP
  • Facility Address: 3828 SCHAUFELE AVE STE 200
    LONG BEACH, CA
    ZIP 90808
  • Facility Phone: 657 241-8990
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELIZABETH H. WEST MD
  • NPI Number: 1073946943
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2124395
LAB Type Physician Office
Facility Name MEMORIAL CARE MEDICAL GROUP
Street 3828 SCHAUFELE AVE STE 200
City LONG BEACH
State CA
ZIP 90808
Phone 657 241-8990
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director ELIZABETH H. WEST MD

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