05D2181028 CLIA NUMBER - PMD WELLNESS CENTER INC

Laboratory Demographics

CLIA Number: 05D2181028

Facility Name: PMD WELLNESS CENTER INC

Facility Address:
1187 EAST ANAHEIM STREET
LONG BEACH, CA
ZIP 90813
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Facility Phone Number: 562 599-2119

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104485887

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	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
CertificateType	4
CertificateEffectiveDate	3/25/2024
CertificateExpirationDate	3/24/2026
FacilityType	Waiver

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