05D0576646 CLIA NUMBER - NORTH ORANGE COUNTY

Laboratory Demographics

CLIA Number: 05D0576646

Facility Name: NORTH ORANGE COUNTY

Facility Address:
901 W ORANGETHORPE AVE
FULLERTON, CA
ZIP 92832
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Facility Phone Number: (714) 441-0411

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1194974402

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0576646
LAB Type PHYSICIAN OFFICE
Facility Name NORTH ORANGE COUNTY
Street 901 W ORANGETHORPE AVE
City FULLERTON
State CA
ZIP 92832
Phone (714) 441-0411

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This page was last updated on: 1/7/2022