Organization
HUNTINGTON BEACH CLINICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOTA N RELATO NURSE (OWNER)
(714) 841-7789
Entity
Organization
Contact information
Practice address
8071 SLATER AVE, SUITE 100, HUNTINGTON BEACH, CA 92647-6960
(714) 841-7789
(714) 841-9966
Mailing address
8071 SLATER AVE, SUITE 100, HUNTINGTON BEACH, CA 92647-6960
(714) 841-7789
(714) 841-9966
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 334485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF 334485
CLIA # 05D1080532
CA
Enumeration date
01/15/2009
Last updated
01/15/2009
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