05D0863287 CLIA NUMBER - LAKE WEST MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D0863287
  • Facility Name: LAKE WEST MEDICAL ASSOCIATES
  • Facility Address: 29833 SANTA MARGARITA PKWY SUITE 200
    RANCHO SANTA MARGARITA, CA
    ZIP 92688
  • Facility Phone: 949 858-8652
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HECTOR RAMIREZ
  • NPI Number: 1851457485
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0863287
LAB Type Physician Office
Facility Name LAKE WEST MEDICAL ASSOCIATES
Street 29833 SANTA MARGARITA PKWY SUITE 200
City RANCHO SANTA MARGARITA
State CA
ZIP 92688
Phone 949 858-8652
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 HECTOR RAMIREZ

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