05D2164181 CLIA NUMBER - ACCESS PRIMARY CARE PHYSICIANS, INC

Laboratory Demographics

CLIA Number: 05D2164181

Facility Name: ACCESS PRIMARY CARE PHYSICIANS, INC

Facility Address:
3120 S HACIENDA BOULEVARD, SUITE 101
HACIENDA HEIGHTS, CA
ZIP 91745
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Facility Phone Number: 833 402-5804

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104479849

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	05D2164181
LAB Type	Physician Office
Facility Name	ACCESS PRIMARY CARE PHYSICIANS, INC
Street	3120 S HACIENDA BOULEVARD, SUITE 101
City	HACIENDA HEIGHTS
State	CA
ZIP	91745
Phone	833 402-5804
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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