05D0691068 CLIA NUMBER - ANGELINE Y ITURIAGA MD

Laboratory Demographics

  • CLIA Code: 05D0691068
  • Facility Name: ANGELINE Y ITURIAGA MD
  • Facility Address: 515 S BEACH STE I
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 714 952-4147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELINE Y. ITURIAGA
  • NPI Number: 1548275365
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0691068
LAB Type Physician Office
Facility Name ANGELINE Y ITURIAGA MD
Street 515 S BEACH STE I
City ANAHEIM
State CA
ZIP 92804
Phone 714 952-4147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director ANGELINE Y. ITURIAGA

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