05D0581012 CLIA NUMBER - MEMORIALCARE MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0581012

Facility Name: MEMORIALCARE MEDICAL GROUP

Facility Address:
26538 MOULTON PARKWAY STE E
LAGUNA HILLS, CA
ZIP 92653
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Facility Phone Number: (949) 448-0656

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1710029368

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name Field Value
CLIA Number 05D0581012
LAB Type PHYSICIAN OFFICE
Facility Name MEMORIALCARE MEDICAL GROUP
Street 26538 MOULTON PARKWAY STE E
City LAGUNA HILLS
State CA
ZIP 92653
Phone (949) 448-0656

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