05D0859265 CLIA NUMBER - JOSE L VALDEZ MD

Laboratory Demographics

  • CLIA Code: 05D0859265
  • Facility Name: JOSE L VALDEZ MD
  • Facility Address: 1125 EAST 17TH STREET E-224
    SANTA ANA, CA
    ZIP 92701
  • Facility Phone: 714 547-0634
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE L. VALDEZ
  • NPI Number: 1386607174
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0859265
LAB Type Physician Office
Facility Name JOSE L VALDEZ MD
Street 1125 EAST 17TH STREET E-224
City SANTA ANA
State CA
ZIP 92701
Phone 714 547-0634
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 JOSE L. VALDEZ

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