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05D0579478 CLIA NUMBER - SAN CLEMENTE MEDI-CENTER

Laboratory Demographics

CLIA Number: 05D0579478

Facility Name: SAN CLEMENTE MEDI-CENTER

Facility Address:
910 S EL CAMINO REAL
SAN CLEMENTE, CA
ZIP 92672
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Facility Phone Number: 714 492-4994

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1972881241

Taxonomy: 302R00000X - Health Maintenance Organization
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

CLIA Record

Field Name Field Value
CLIA Number 05D0579478
LAB Type Physician Office
Facility Name SAN CLEMENTE MEDI-CENTER
Street 910 S EL CAMINO REAL
City SAN CLEMENTE
State CA
ZIP 92672
Phone 714 492-4994
CertificateType 4
CertificateEffectiveDate 7/5/2022
CertificateExpirationDate 7/4/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024