05D2204543 CLIA NUMBER - QUICLINICS MEDICAL PARTNERTS INC

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Laboratory Demographics

CLIA Number: 05D2204543

Facility Name: QUICLINICS MEDICAL PARTNERTS INC

Facility Address:
3620 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA
ZIP 90262
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Facility Phone Number: 424 785-5050

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1679083182

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2204543
LAB Type	Community Clinic
Facility Name	QUICLINICS MEDICAL PARTNERTS INC
Street	3620 MARTIN LUTHER KING JR BLVD
City	LYNWOOD
State	CA
ZIP	90262
Phone	424 785-5050
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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