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05D0869549 CLIA NUMBER - ORANGE COUNTY INSTITUTE OF GASTROENTEROLOGY & ENDOSCOPY

Laboratory Demographics

CLIA Number: 05D0869549

Facility Name: ORANGE COUNTY INSTITUTE OF GASTROENTEROLOGY & ENDOSCOPY

Facility Address:
26732 CROWN VALLEY PKWY, STE 241
MISSION VIEJO, CA
ZIP 92691
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Facility Phone Number: 949 364-2611

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1083129746

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 05D0869549
LAB Type Physician Office
Facility Name ORANGE COUNTY INSTITUTE OF GASTROENTEROLOGY & ENDOSCOPY
Street 26732 CROWN VALLEY PKWY, STE 241
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 364-2611
CertificateType 2
CertificateEffectiveDate 3/13/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024