05D0930808 CLIA NUMBER - CRESTVIEW CLINICAL LABORATORY, LLC

Laboratory Demographics

CLIA Number: 05D0930808

Facility Name: CRESTVIEW CLINICAL LABORATORY, LLC

Facility Address:
5 HOLLAND STE 209
IRVINE, CA
ZIP 92618
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Facility Phone Number: 877 429-6607

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1255726626

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 05D0930808
LAB Type Independent
Facility Name CRESTVIEW CLINICAL LABORATORY, LLC
Street 5 HOLLAND STE 209
City IRVINE
State CA
ZIP 92618
Phone 877 429-6607
CertificateType 2
CertificateEffectiveDate 11/17/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024