05D0712225 CLIA NUMBER - LEDOC MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0712225
  • Facility Name: LEDOC MEDICAL GROUP
  • Facility Address: 10900 WARNER AVE STE 122
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 540-0105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: XUANTO LEDUC
  • NPI Number: 1710066147
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0712225
LAB Type Physician Office
Facility Name LEDOC MEDICAL GROUP
Street 10900 WARNER AVE STE 122
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 540-0105
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 XUANTO LEDUC

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