05D2328047 CLIA NUMBER - MARVIN LIEBLEIN INC DBA FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2328047
  • Facility Name: MARVIN LIEBLEIN INC DBA FAMILY PHARMACY
  • Facility Address: 1400 ATLANTIC AVENUE
    LONG BEACH, CA
    ZIP 90813
  • Facility Phone: 562 591-4417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINAXI TANK
  • NPI Number: 1073539532
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2328047
LAB Type Pharmacy
Facility Name MARVIN LIEBLEIN INC DBA FAMILY PHARMACY
Street 1400 ATLANTIC AVENUE
City LONG BEACH
State CA
ZIP 90813
Phone 562 591-4417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director MINAXI TANK

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