05D0723385 CLIA NUMBER - ORANGE COUNTY DERMATOLOGY & SURGERY

Laboratory Demographics

  • CLIA Code: 05D0723385
  • Facility Name: ORANGE COUNTY DERMATOLOGY & SURGERY
  • Facility Address: 17742 BEACH BLVD STE 325
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 714 848-0770
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: VIPAL SONI
  • NPI Number: 1700280864
  • Taxonomy: 2355S0801X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 05D0723385
LAB Type Physician Office
Facility Name ORANGE COUNTY DERMATOLOGY & SURGERY
Street 17742 BEACH BLVD STE 325
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 714 848-0770
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/13/2021
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director VIPAL SONI

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