05D0582068 CLIA NUMBER - PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY, INC

Laboratory Demographics

  • CLIA Code: 05D0582068
  • Facility Name: PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY, INC
  • Facility Address: 1211 W LA PALMA AVE SUITE 401
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 520-0313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAMERTO G. GARCIA MD
  • NPI Number: 1699962688
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0582068
LAB Type Physician Office
Facility Name PEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY, INC
Street 1211 W LA PALMA AVE SUITE 401
City ANAHEIM
State CA
ZIP 92801
Phone 714 520-0313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director MAMERTO G. GARCIA MD

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This page was last updated on: 3/20/2025