Organization
HUNTINGTON BEACH CLINICAL LABORATORY INC
Active
Other names
huntington beach clinical laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
KIRILL A VOYLOSHNIKOV (PRESIDENT)
(714) 843-9600
Entity
Organization
Contact information
Practice address
8071 SLATER AVE, STE 100, HUNTINGTON BEACH, CA 92647-6960
(714) 843-9600
(714) 717-4230
Mailing address
8071 SLATER AVE, STE 100, HUNTINGTON BEACH, CA 92647-6960
(714) 843-9600
(714) 717-4230
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1080532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF 334485
CLINICAL LABORATORY LICENSE
CA
Enumeration date
12/29/2009
Last updated
12/29/2009
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