05D0946377 CLIA NUMBER - JORGE R LOPEZ, MD

Laboratory Demographics

  • CLIA Code: 05D0946377
  • Facility Name: JORGE R LOPEZ, MD
  • Facility Address: 2740 S BRISTOL, STE100
    SANTA ANA, CA
    ZIP 92704
  • Facility Phone: 714 825-1844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORGE R. LOPEZ MD
  • NPI Number: 1881705556
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0946377
LAB Type Physician Office
Facility Name JORGE R LOPEZ, MD
Street 2740 S BRISTOL, STE100
City SANTA ANA
State CA
ZIP 92704
Phone 714 825-1844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director JORGE R. LOPEZ MD

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