05D0580544 CLIA NUMBER - SOUTHLAND FAMILY & URGENT CARE INC

Laboratory Demographics

CLIA Number: 05D0580544

Facility Name: SOUTHLAND FAMILY & URGENT CARE INC

Facility Address:
27660 SANTA MARGARITA PARKWAY
MISSION VIEJO, CA
ZIP 92691
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Facility Phone Number: 949 350-8797

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1972627586

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	05D0580544
LAB Type	Physician Office
Facility Name	SOUTHLAND FAMILY & URGENT CARE INC
Street	27660 SANTA MARGARITA PARKWAY
City	MISSION VIEJO
State	CA
ZIP	92691
Phone	949 350-8797
CertificateType	2
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024