05D0576828 CLIA NUMBER - PROVIDENCE ST JUDE HERITAGE PLAZA STAT

Laboratory Demographics

CLIA Number: 05D0576828

Facility Name: PROVIDENCE ST JUDE HERITAGE PLAZA STAT

Facility Address:
2141 N HARBOR BLVD STE 17000
FULLERTON, CA
ZIP 92835
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Facility Phone Number: (714) 626-8640

Facility Type: OTHER PRACTITIONER

Certificate Type: Accreditation

NPI Number: 1316243769

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 05D0576828
LAB Type OTHER PRACTITIONER
Facility Name PROVIDENCE ST JUDE HERITAGE PLAZA STAT
Street 2141 N HARBOR BLVD STE 17000
City FULLERTON
State CA
ZIP 92835
Phone (714) 626-8640

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