05D0581842 CLIA NUMBER - STEVEN LONG MD

Laboratory Demographics

CLIA Number: 05D0581842

Facility Name: STEVEN LONG MD

Facility Address:
4870 BARRANCA PKY STE 260
IRVINE, CA
ZIP 92714
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Facility Phone Number: 714 551-0300

Facility Type: Physician Office

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D0581842
LAB Type	Physician Office
Facility Name	STEVEN LONG MD
Street	4870 BARRANCA PKY STE 260
City	IRVINE
State	CA
ZIP	92714
Phone	714 551-0300
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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