05D0896076 CLIA NUMBER - EDINGER PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 05D0896076
  • Facility Name: EDINGER PEDIATRICS INC
  • Facility Address: 9900 TALBERT AVE STE 201
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 509-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRY PELLMAN
  • NPI Number: 1922630227
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0896076
LAB Type Physician Office
Facility Name EDINGER PEDIATRICS INC
Street 9900 TALBERT AVE STE 201
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 509-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director HARRY PELLMAN

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