05D0897673 CLIA NUMBER - SHARE OUR SELVES CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0897673
  • Facility Name: SHARE OUR SELVES CORPORATION
  • Facility Address: 1550 SUPERIOR AVE
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 949 270-2100
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: TERESA FLORES
  • NPI Number: 1033514708
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0897673
LAB Type Federally Qualified Health Center
Facility Name SHARE OUR SELVES CORPORATION
Street 1550 SUPERIOR AVE
City COSTA MESA
State CA
ZIP 92627
Phone 949 270-2100
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 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Federally Qualified Health Center
Lab Director TERESA FLORES

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