05D2181028 CLIA NUMBER - PMD WELLNESS CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2181028
  • Facility Name: PMD WELLNESS CENTER INC
  • Facility Address: 1187 EAST ANAHEIM STREET
    LONG BEACH, CA
    ZIP 90813
  • Facility Phone: 562 599-2119
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISAIAS PAJA
  • NPI Number: 1104485887
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2181028
LAB Type Physician Office
Facility Name PMD WELLNESS CENTER INC
Street 1187 EAST ANAHEIM STREET
City LONG BEACH
State CA
ZIP 90813
Phone 562 599-2119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director ISAIAS PAJA

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