05D0580482 CLIA NUMBER - SCPMG MISSION VIEJO

Laboratory Demographics

CLIA Number: 05D0580482

Facility Name: SCPMG MISSION VIEJO

Facility Address:
23781 MAQUINA AVENUE, ROOM 1107
MISSION VIEJO, CA
ZIP 92691
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Facility Phone Number: (949) 455-4276

Facility Type: HEALTH MAINTENANCE ORGANIZATION

Certificate Type: Accreditation

CLIA Record

Field Name	Field Value
CLIA Number	05D0580482
LAB Type	HEALTH MAINTENANCE ORGANIZATION
Facility Name	SCPMG MISSION VIEJO
Street	23781 MAQUINA AVENUE, ROOM 1107
City	MISSION VIEJO
State	CA
ZIP	92691
Phone	(949) 455-4276

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