05D2176865 CLIA NUMBER - UNISON WELNESS, INC STONEWALL WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2176865
  • Facility Name: UNISON WELNESS, INC STONEWALL WELLNESS CENTER
  • Facility Address: 440 WEST ANAHEIM STREET
    LONG BEACH, CA
    ZIP 90813
  • Facility Phone: 562 247-0607
  • Facility Type: Other - ADHC/CBAS
  • Facility Type: Waiver
  • Lab Director: MICHAEL GOTTLIEBB
  • NPI Number: 1386110484
  • Taxonomy: 261QA0600X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2176865
LAB Type Other - ADHC/CBAS
Facility Name UNISON WELNESS, INC STONEWALL WELLNESS CENTER
Street 440 WEST ANAHEIM STREET
City LONG BEACH
State CA
ZIP 90813
Phone 562 247-0607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Other - ADHC/CBAS
Lab Director MICHAEL GOTTLIEBB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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