05D0676899 CLIA NUMBER - COLLEGE HOSPITAL COSTA MESA

Laboratory Demographics

  • CLIA Code: 05D0676899
  • Facility Name: COLLEGE HOSPITAL COSTA MESA
  • Facility Address: 301 VICTORIA ST
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 949 574-3314
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SHAHIN H. SAMIMI
  • NPI Number: 1093515439
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 05D0676899
LAB Type Hospital
Facility Name COLLEGE HOSPITAL COSTA MESA
Street 301 VICTORIA ST
City COSTA MESA
State CA
ZIP 92627
Phone 949 574-3314
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. SHAHIN H. SAMIMI

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