05D0926058 CLIA NUMBER - UCI HEALTH - FOUNTAIN VALLEY MULTI-SPECIALTY

Laboratory Demographics

  • CLIA Code: 05D0926058
  • Facility Name: UCI HEALTH - FOUNTAIN VALLEY MULTI-SPECIALTY
  • Facility Address: 11180 WARNER AVE STE 167
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 241-8552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP BUCUR
  • NPI Number: 1982022141
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0926058
LAB Type Physician Office
Facility Name UCI HEALTH - FOUNTAIN VALLEY MULTI-SPECIALTY
Street 11180 WARNER AVE STE 167
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 241-8552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director PHILIP BUCUR

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