05D0576087 CLIA NUMBER - MEMORIALCARE MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0576087

Facility Name: MEMORIALCARE MEDICAL GROUP

Facility Address:
722 BAKER STREET
COSTA MESA, CA
ZIP 92626
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Facility Phone Number: (714) 557-6300

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

CLIA Record

Field Name	Field Value
CLIA Number	05D0576087
LAB Type	PHYSICIAN OFFICE
Facility Name	MEMORIALCARE MEDICAL GROUP
Street	722 BAKER STREET
City	COSTA MESA
State	CA
ZIP	92626
Phone	(714) 557-6300

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This page was last updated on: 5/11/2023