05D0666072 CLIA NUMBER - ST JOSEPH HOSP PULMONARY DIAGNOS LAB

Laboratory Demographics

CLIA Number: 05D0666072

Facility Name: ST JOSEPH HOSP PULMONARY DIAGNOS LAB

Facility Address:
1100 W STEWART DRIVE
ORANGE, CA
ZIP 92868
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Facility Phone Number: 714 771-8287

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1710015987

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	05D0666072
LAB Type	Hospital
Facility Name	ST JOSEPH HOSP PULMONARY DIAGNOS LAB
Street	1100 W STEWART DRIVE
City	ORANGE
State	CA
ZIP	92868
Phone	714 771-8287
CertificateType	1
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024