05D0061551 CLIA NUMBER - PROVIDENCE MISSION HOSPITAL MISSION VIEJO

Laboratory Demographics

  • CLIA Code: 05D0061551
  • Facility Name: PROVIDENCE MISSION HOSPITAL MISSION VIEJO
  • Facility Address: 27700 MEDICAL CENTER ROAD
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 949 364-1400
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. VANESSA HOANG
  • NPI Number: 1710374715
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0061551
LAB Type Hospital
Facility Name PROVIDENCE MISSION HOSPITAL MISSION VIEJO
Street 27700 MEDICAL CENTER ROAD
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 364-1400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. VANESSA HOANG

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