05D0579669 CLIA NUMBER - DANA NIGUEL INTERNAL MED

Laboratory Demographics

CLIA Number: 05D0579669

Facility Name: DANA NIGUEL INTERNAL MED

Facility Address:
15 MAREBLU, SUITE 350
ALISO VIEJO, CA
ZIP 92656
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Facility Phone Number: (949) 495-4305

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0579669
LAB Type PHYSICIAN OFFICE
Facility Name DANA NIGUEL INTERNAL MED
Street 15 MAREBLU, SUITE 350
City ALISO VIEJO
State CA
ZIP 92656
Phone (949) 495-4305

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