05D0662326 CLIA NUMBER - WEISENTHAL CANCER GROUP

Laboratory Demographics

  • CLIA Code: 05D0662326
  • Facility Name: WEISENTHAL CANCER GROUP
  • Facility Address: 16512 BURKE LN
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 714 596-2100
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: LARRY M. WEISENTHAL MD
  • NPI Number: 1629257860
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0662326
LAB Type Independent
Facility Name WEISENTHAL CANCER GROUP
Street 16512 BURKE LN
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 714 596-2100
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/29/2021
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director LARRY M. WEISENTHAL MD

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