05D0912721 CLIA NUMBER - COMMUNITY PEDIATRIC CLINIC, INC

Laboratory Demographics

  • CLIA Code: 05D0912721
  • Facility Name: COMMUNITY PEDIATRIC CLINIC, INC
  • Facility Address: 10210 ORR AND DAY ROAD STE A
    SANTA FE SPRINGS, CA
    ZIP 90670
  • Facility Phone: 562 864-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIDI A. WINKLER MD
  • NPI Number: 1598075442
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0912721
LAB Type Physician Office
Facility Name COMMUNITY PEDIATRIC CLINIC, INC
Street 10210 ORR AND DAY ROAD STE A
City SANTA FE SPRINGS
State CA
ZIP 90670
Phone 562 864-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director HEIDI A. WINKLER MD

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