05D0581820 CLIA NUMBER - MEMORIALCARE MEDICAL FOUNDATION

Laboratory Demographics

CLIA Number: 05D0581820

Facility Name: MEMORIALCARE MEDICAL FOUNDATION

Facility Address:
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA
ZIP 92604
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA
ZIP 92604
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Facility Phone Number: (949) 551-1090

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1083047955

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0581820
LAB Type	PHYSICIAN OFFICE
Facility Name	MEMORIALCARE MEDICAL FOUNDATION
Street	4050 BARRANCA PKWY, SUITE 200
City	IRVINE
State	CA
ZIP	92604
Phone	(949) 551-1090
CLIA Number	05D0581820
LAB Type	PHYSICIAN OFFICE
Facility Name	MEMORIALCARE MEDICAL FOUNDATION
Street	4050 BARRANCA PKWY, SUITE 200
City	IRVINE
State	CA
ZIP	92604
Phone	(949) 551-1090

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