05D0902717 CLIA NUMBER - PACIFIC MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0902717
  • Facility Name: PACIFIC MEDICAL CLINIC
  • Facility Address: 1534 EAST WARNER AVENUE, SUITE A
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 557-5599
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: GARY A. LINNEMAN MD
  • NPI Number: 1750491221
  • Taxonomy: 2083P0500X - Preventive Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0902717
LAB Type Industrial
Facility Name PACIFIC MEDICAL CLINIC
Street 1534 EAST WARNER AVENUE, SUITE A
City SANTA ANA
State CA
ZIP 92705
Phone 714 557-5599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Industrial
Lab Director GARY A. LINNEMAN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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