05D2203169 CLIA NUMBER - WE CARE URGENT CARE

Laboratory Demographics

CLIA Number: 05D2203169

Facility Name: WE CARE URGENT CARE

Facility Address:
11177 TAMPA AVE UNIT A
NORTHRIDGE, CA
ZIP 91326
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Facility Phone Number: 818 850-7129

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811503519

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2203169
LAB Type Physician Office
Facility Name WE CARE URGENT CARE
Street 11177 TAMPA AVE UNIT A
City NORTHRIDGE
State CA
ZIP 91326
Phone 818 850-7129
CertificateType 4
CertificateEffectiveDate 12/2/2022
CertificateExpirationDate 12/1/2024
FacilityType Waiver

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