05D0578700 CLIA NUMBER - ROFIM MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D0578700
  • Facility Name: ROFIM MEDICAL GROUP, INC
  • Facility Address: 1920 EAST KATELLA AVE SUITE M
    ORANGE, CA
    ZIP 92867
  • Facility Phone: 714 974-2111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARA B. RUIZ
  • NPI Number: 1992802680
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0578700
LAB Type Physician Office
Facility Name ROFIM MEDICAL GROUP, INC
Street 1920 EAST KATELLA AVE SUITE M
City ORANGE
State CA
ZIP 92867
Phone 714 974-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2023
Certificate Expiration Date 9/19/2025
Facility Type Physician Office
Lab Director CARA B. RUIZ

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This page was last updated on: 3/20/2025