05D0582106 CLIA NUMBER - PETER G GEDDES, MD

Laboratory Demographics

CLIA Number: 05D0582106

Facility Name: PETER G GEDDES, MD

Facility Address:
705 W LA VETA AVE STE 115
ORANGE, CA
ZIP 92868
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Facility Phone Number: (714) 535-7400

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1386915890

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 05D0582106
LAB Type PHYSICIAN OFFICE
Facility Name PETER G GEDDES, MD
Street 705 W LA VETA AVE STE 115
City ORANGE
State CA
ZIP 92868
Phone (714) 535-7400

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