05D0715849 CLIA NUMBER - MARK ADLARD MD

Laboratory Demographics

  • CLIA Code: 05D0715849
  • Facility Name: MARK ADLARD MD
  • Facility Address: 22342 AVENIDA EMPRESA STE 195
    RANCHO SANTA MARGARITA, CA
    ZIP 92688
  • Facility Phone: 949 858-7001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK E. ADLARD
  • NPI Number: 1346265766
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0715849
LAB Type Physician Office
Facility Name MARK ADLARD MD
Street 22342 AVENIDA EMPRESA STE 195
City RANCHO SANTA MARGARITA
State CA
ZIP 92688
Phone 949 858-7001
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARK E. ADLARD

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