05D2276253 CLIA NUMBER - COVID EMT CLINICS

Laboratory Demographics

CLIA Number: 05D2276253

Facility Name: COVID EMT CLINICS

Facility Address:
4013 SAWTELLE BLVD #100
LOS ANGELES, CA
ZIP 90066
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Facility Phone Number: 214 385-1514

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1750043295

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 05D2276253
LAB Type Independent
Facility Name COVID EMT CLINICS
Street 4013 SAWTELLE BLVD #100
City LOS ANGELES
State CA
ZIP 90066
Phone 214 385-1514
CertificateType 4
CertificateEffectiveDate 2/6/2023
CertificateExpirationDate 2/5/2025
FacilityType Waiver

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