05D2183329 CLIA NUMBER - PALMDALE MEDICAL CLINIC INC

Laboratory Demographics

CLIA Number: 05D2183329

Facility Name: PALMDALE MEDICAL CLINIC INC

Facility Address:
38780 TRADE CENTER DRIVE SUITE 1C
PALMDALE, CA
ZIP 93551
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Facility Phone Number: 661 947-5600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851849863

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	05D2183329
LAB Type	Physician Office
Facility Name	PALMDALE MEDICAL CLINIC INC
Street	38780 TRADE CENTER DRIVE SUITE 1C
City	PALMDALE
State	CA
ZIP	93551
Phone	661 947-5600
CertificateType	4
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	Waiver

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