05D2295154 CLIA NUMBER - MELIORA MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D2295154

Facility Name: MELIORA MEDICAL GROUP INC

Facility Address:
3036 SANTA FE AVE
LONG BEACH, CA
ZIP 90810
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Facility Phone Number: 562 591-2786

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356078042

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2295154
LAB Type	Physician Office
Facility Name	MELIORA MEDICAL GROUP INC
Street	3036 SANTA FE AVE
City	LONG BEACH
State	CA
ZIP	90810
Phone	562 591-2786
CertificateType	4
CertificateEffectiveDate	12/6/2023
CertificateExpirationDate	12/5/2025
FacilityType	Waiver

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