05D0581647 CLIA NUMBER - FOUNTAIN VALLEY REG'L HOSP CLNCL LAB

Laboratory Demographics

CLIA Number: 05D0581647

Facility Name: FOUNTAIN VALLEY REG'L HOSP CLNCL LAB

Facility Address:
17100 EUCLID
FOUNTAIN VALLEY, CA
ZIP 92708
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Facility Phone Number: (714) 966-8031

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1831256064

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name	Field Value
CLIA Number	05D0581647
LAB Type	HOSPITAL
Facility Name	FOUNTAIN VALLEY REG'L HOSP CLNCL LAB
Street	17100 EUCLID
City	FOUNTAIN VALLEY
State	CA
ZIP	92708
Phone	(714) 966-8031

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