05D0686346 CLIA NUMBER - WILLIAM J WICKWIRE, MD INC APC

Laboratory Demographics

  • CLIA Code: 05D0686346
  • Facility Name: WILLIAM J WICKWIRE, MD INC APC
  • Facility Address: 16899 ALGONQUIN ST STE A
    HUNTINGTON BEACH, CA
    ZIP 92649
  • Facility Phone: 714 840-2247
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM J. WICKWIRE, MD
  • NPI Number: 1053526285
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D0686346
LAB Type Physician Office
Facility Name WILLIAM J WICKWIRE, MD INC APC
Street 16899 ALGONQUIN ST STE A
City HUNTINGTON BEACH
State CA
ZIP 92649
Phone 714 840-2247
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director WILLIAM J. WICKWIRE, MD

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