05D2157566 CLIA NUMBER - FRANCISCO K CORREA MD INC

Laboratory Demographics

CLIA Number: 05D2157566

Facility Name: FRANCISCO K CORREA MD INC

Facility Address:
1350 W. 6TH STREET SUITE 3
SAN PEDRO, CA
ZIP 90732
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Facility Phone Number: 310 241-1000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164580783

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	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
CertificateType	4
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Waiver

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