05D0688745 CLIA NUMBER - TONY N NAKHLA, DO INC OC SKIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D0688745
  • Facility Name: TONY N NAKHLA, DO INC OC SKIN INSTITUTE
  • Facility Address: 800 N TUSTIN AVE STE G
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 547-6111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TONY N. NAKHLA
  • NPI Number: 1619052248
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0688745
LAB Type Physician Office
Facility Name TONY N NAKHLA, DO INC OC SKIN INSTITUTE
Street 800 N TUSTIN AVE STE G
City SANTA ANA
State CA
ZIP 92705
Phone 714 547-6111
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 6/20/2023
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director TONY N. NAKHLA

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This page was last updated on: 6/4/2025