05D2304705 CLIA NUMBER - LA SUAREZ APC DBA PRIMARY HEALTHCARE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2304705
  • Facility Name: LA SUAREZ APC DBA PRIMARY HEALTHCARE MEDICAL GROUP
  • Facility Address: 183 S 5TH STREET
    BRAWLEY, CA
    ZIP 92227
  • Facility Phone: 760 344-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORENZO H. SUAREZ
  • NPI Number: 1841074267
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2304705
LAB Type Physician Office
Facility Name LA SUAREZ APC DBA PRIMARY HEALTHCARE MEDICAL GROUP
Street 183 S 5TH STREET
City BRAWLEY
State CA
ZIP 92227
Phone 760 344-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director LORENZO H. SUAREZ

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