05D0896423 CLIA NUMBER - JAY APPLEBAUM MD INC

Laboratory Demographics

  • CLIA Code: 05D0896423
  • Facility Name: JAY APPLEBAUM MD INC
  • Facility Address: 17601 E 17TH ST, STE 110
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 790-0005
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAY APPLEBAUM
  • NPI Number: 1740214618
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0896423
LAB Type Physician Office
Facility Name JAY APPLEBAUM MD INC
Street 17601 E 17TH ST, STE 110
City TUSTIN
State CA
ZIP 92780
Phone 714 790-0005
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 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director JAY APPLEBAUM

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