05D0578793 CLIA NUMBER - CCTS SHARED LABORATORY

Laboratory Demographics

CLIA Number: 05D0578793

Facility Name: CCTS SHARED LABORATORY

Facility Address:
14642 NEWPORT AVE # 450
TUSTIN, CA
ZIP 92780
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Facility Phone Number: (714) 998-6329

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0578793
LAB Type PHYSICIAN OFFICE
Facility Name CCTS SHARED LABORATORY
Street 14642 NEWPORT AVE # 450
City TUSTIN
State CA
ZIP 92780
Phone (714) 998-6329

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