05D2297210 CLIA NUMBER - KEITH T CHUMLEY ADVISORS MD PC

Laboratory Demographics

  • CLIA Code: 05D2297210
  • Facility Name: KEITH T CHUMLEY ADVISORS MD PC
  • Facility Address: 23600 TELO AVE SUITE 280
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 424 250-9979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH T. CHUMLEY
  • NPI Number: 1932126653
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2297210
LAB Type Physician Office
Facility Name KEITH T CHUMLEY ADVISORS MD PC
Street 23600 TELO AVE SUITE 280
City TORRANCE
State CA
ZIP 90505
Phone 424 250-9979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director KEITH T. CHUMLEY

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