05D0580482 CLIA NUMBER - SCPMG MISSION VIEJO

Laboratory Demographics

CLIA Number: 05D0580482

Facility Name: SCPMG MISSION VIEJO

Facility Address:
23781 MAQUINA AVENUE, ROOM 110
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 110
City MISSION VIEJO
State CA
ZIP 92691
Phone (949) 455-4276

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