05D0582070 CLIA NUMBER - ROBIN K DORE MD

Laboratory Demographics

  • CLIA Code: 05D0582070
  • Facility Name: ROBIN K DORE MD
  • Facility Address: 12791 NEWPORT AVE STE 201
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 505-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBIN K. DORE MD
  • NPI Number: 1619972510
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0582070
LAB Type Physician Office
Facility Name ROBIN K DORE MD
Street 12791 NEWPORT AVE STE 201
City TUSTIN
State CA
ZIP 92780
Phone 714 505-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director ROBIN K. DORE MD

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This page was last updated on: 9/29/2025