05D0582025 CLIA NUMBER - INTEGRATIVE MEDICAL GROUP OF IRVINE

Laboratory Demographics

CLIA Number: 05D0582025

Facility Name: INTEGRATIVE MEDICAL GROUP OF IRVINE

Facility Address:
4968 BOOTH CIR
IRVINE, CA
ZIP 92604
Get Directions

Facility Phone Number: (949) 753-7475

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1821121328

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0582025
LAB Type PHYSICIAN OFFICE
Facility Name INTEGRATIVE MEDICAL GROUP OF IRVINE
Street 4968 BOOTH CIR
City IRVINE
State CA
ZIP 92604
Phone (949) 753-7475

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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