05D0690922 CLIA NUMBER - JOSEPH N GREGURICH MD

Laboratory Demographics

  • CLIA Code: 05D0690922
  • Facility Name: JOSEPH N GREGURICH MD
  • Facility Address: 11100 WARNER AVE STE 112
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 556-8320
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH N. GREGURICH
  • NPI Number: 1154416279
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0690922
LAB Type Physician Office
Facility Name JOSEPH N GREGURICH MD
Street 11100 WARNER AVE STE 112
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 556-8320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director JOSEPH N. GREGURICH

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