05D0699635 CLIA NUMBER - KELVIN MAI, DO INC

Laboratory Demographics

  • CLIA Code: 05D0699635
  • Facility Name: KELVIN MAI, DO INC
  • Facility Address: 1002 N FAIRVIEW ST
    SANTA ANA, CA
    ZIP 92703
  • Facility Phone: 714 332-1069
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KELVIN MAI
  • NPI Number: 1437485513
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0699635
LAB Type Physician Office
Facility Name KELVIN MAI, DO INC
Street 1002 N FAIRVIEW ST
City SANTA ANA
State CA
ZIP 92703
Phone 714 332-1069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. KELVIN MAI

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