05D0579139 CLIA NUMBER - NEPHROLOGY SPECIALISTS GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0579139
  • Facility Name: NEPHROLOGY SPECIALISTS GROUP INC
  • Facility Address: 705 WEST LA VETA AVE, STE 107
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 714 639-4901
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LINH L. THONG
  • NPI Number: 1568424679
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0579139
LAB Type Physician Office
Facility Name NEPHROLOGY SPECIALISTS GROUP INC
Street 705 WEST LA VETA AVE, STE 107
City ORANGE
State CA
ZIP 92868
Phone 714 639-4901
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LINH L. THONG

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This page was last updated on: 6/4/2025