05D0935646 CLIA NUMBER - FOOTHILL REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D0935646
  • Facility Name: FOOTHILL REGIONAL MEDICAL CENTER
  • Facility Address: 14662 NEWPORT AVE
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 619-7780
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: LUKE WATSON
  • NPI Number: 1043632938
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0935646
LAB Type Hospital
Facility Name FOOTHILL REGIONAL MEDICAL CENTER
Street 14662 NEWPORT AVE
City TUSTIN
State CA
ZIP 92780
Phone 714 619-7780
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Hospital
Lab Director LUKE WATSON

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This page was last updated on: 3/20/2025