05D0878819 CLIA NUMBER - CHILDRENS HOSPITAL AT MISSION

Laboratory Demographics

CLIA Number: 05D0878819

Facility Name: CHILDRENS HOSPITAL AT MISSION

Facility Address:
27700 MEDICAL CENTER ROAD
MISSION VIEJO, CA
ZIP 92691
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Facility Phone Number: 949 365-2408

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1699868398

Taxonomy: 282NC2000X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	05D0878819
LAB Type	Hospital
Facility Name	CHILDRENS HOSPITAL AT MISSION
Street	27700 MEDICAL CENTER ROAD
City	MISSION VIEJO
State	CA
ZIP	92691
Phone	949 365-2408
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

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