05D0579775 CLIA NUMBER - ST JOSEPH HERITAGE MEDICAL GROUP TUSTI

Laboratory Demographics

CLIA Number: 05D0579775

Facility Name: ST JOSEPH HERITAGE MEDICAL GROUP TUSTI

Facility Address:
1095 IRVINE BLVD
TUSTIN, CA
ZIP 92780
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Facility Phone Number: (714) 505-7110

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0579775
LAB Type PHYSICIAN OFFICE
Facility Name ST JOSEPH HERITAGE MEDICAL GROUP TUSTI
Street 1095 IRVINE BLVD
City TUSTIN
State CA
ZIP 92780
Phone (714) 505-7110

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