05D0579177 CLIA NUMBER - PROVIDENCE ST JOSEPH HOSPITAL

Laboratory Demographics

CLIA Number: 05D0579177

Facility Name: PROVIDENCE ST JOSEPH HOSPITAL

Facility Address:
1100 WEST STEWART DR
ORANGE, CA
ZIP 92868
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Facility Phone Number: (714) 771-8175

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1609850320

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0579177
LAB Type	HOSPITAL
Facility Name	PROVIDENCE ST JOSEPH HOSPITAL
Street	1100 WEST STEWART DR
City	ORANGE
State	CA
ZIP	92868
Phone	(714) 771-8175

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This page was last updated on: 5/11/2023