05D0906475 CLIA NUMBER - MARWAN EDRIS, MD

Laboratory Demographics

  • CLIA Code: 05D0906475
  • Facility Name: MARWAN EDRIS, MD
  • Facility Address: 25283 CABOT RD STE 106
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 364-9080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARWAN EDRIS
  • NPI Number: 1013045970
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0906475
LAB Type Physician Office
Facility Name MARWAN EDRIS, MD
Street 25283 CABOT RD STE 106
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 364-9080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director MARWAN EDRIS

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