05D0855681 CLIA NUMBER - SUSAN DEBIN MD

Laboratory Demographics

  • CLIA Code: 05D0855681
  • Facility Name: SUSAN DEBIN MD
  • Facility Address: 1234 W CHAPMAN STE 101
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 714 532-6713
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN DEBIN MD
  • NPI Number: 1023079449
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0855681
LAB Type Physician Office
Facility Name SUSAN DEBIN MD
Street 1234 W CHAPMAN STE 101
City ORANGE
State CA
ZIP 92868
Phone 714 532-6713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director SUSAN DEBIN MD

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