05D0576919 CLIA NUMBER - PATHWAY MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0576919

Facility Name: PATHWAY MEDICAL GROUP

Facility Address:
12665 GARDEN GROVE BLVD SUITE
GARDEN GROVE, CA
ZIP 92843
12665 GARDEN GROVE BLVD SUITE
GARDEN GROVE, CA
ZIP 92843
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Facility Phone Number: (714) 537-7800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1437492121

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name Field Value
CLIA Number 05D0576919
LAB Type PHYSICIAN OFFICE
Facility Name PATHWAY MEDICAL GROUP
Street 12665 GARDEN GROVE BLVD SUITE
City GARDEN GROVE
State CA
ZIP 92843
Phone (714) 537-7800
CLIA Number 05D0576919
LAB Type PHYSICIAN OFFICE
Facility Name PATHWAY MEDICAL GROUP
Street 12665 GARDEN GROVE BLVD SUITE
City GARDEN GROVE
State CA
ZIP 92843
Phone (714) 537-7800

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