05D2234144 CLIA NUMBER - GOODLIFE PHYSICAL MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2234144
  • Facility Name: GOODLIFE PHYSICAL MEDICINE
  • Facility Address: 1231 CABRILLO AVE SUITE 205
    TORRANCE, CA
    ZIP 90501
  • Facility Phone: 310 543-7779
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM WEITZMAN
  • NPI Number: 1639578164
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2234144
LAB Type Physician Office
Facility Name GOODLIFE PHYSICAL MEDICINE
Street 1231 CABRILLO AVE SUITE 205
City TORRANCE
State CA
ZIP 90501
Phone 310 543-7779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director ADAM WEITZMAN

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