05D0863113 CLIA NUMBER - MICHAEL A WONG MD

Laboratory Demographics

  • CLIA Code: 05D0863113
  • Facility Name: MICHAEL A WONG MD
  • Facility Address: 24953 PASEO DE VALENCIA STE 4A
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 588-7110
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL A. WONG MD
  • NPI Number: 1780771162
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0863113
LAB Type Physician Office
Facility Name MICHAEL A WONG MD
Street 24953 PASEO DE VALENCIA STE 4A
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 588-7110
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 5/26/2022
Certificate Expiration Date 3/31/2025
Facility Type Physician Office
Lab Director MICHAEL A. WONG MD

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This page was last updated on: 3/20/2025