05D2157566 CLIA NUMBER - FRANCISCO K CORREA MD INC

Laboratory Demographics

  • CLIA Code: 05D2157566
  • Facility Name: FRANCISCO K CORREA MD INC
  • Facility Address: 1350 W. 6TH STREET SUITE 3
    SAN PEDRO, CA
    ZIP 90732
  • Facility Phone: 310 241-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCISCO CORREA
  • NPI Number: 1164580783
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2157566
LAB Type Physician Office
Facility Name FRANCISCO K CORREA MD INC
Street 1350 W. 6TH STREET SUITE 3
City SAN PEDRO
State CA
ZIP 90732
Phone 310 241-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director FRANCISCO CORREA

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