05D0579775 CLIA NUMBER - PROVIDENCE TUSTIN

Laboratory Demographics

CLIA Number: 05D0579775

Facility Name: PROVIDENCE TUSTIN

Facility Address:
1095 IRVINE BLVD
TUSTIN, CA
ZIP 92780
Get Directions

Facility Phone Number: (714) 505-7710

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D0579775
LAB Type	PHYSICIAN OFFICE
Facility Name	PROVIDENCE TUSTIN
Street	1095 IRVINE BLVD
City	TUSTIN
State	CA
ZIP	92780
Phone	(714) 505-7710

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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