05D0946483 CLIA NUMBER - JUN ICHI OHARA, MD PHD

Laboratory Demographics

  • CLIA Code: 05D0946483
  • Facility Name: JUN ICHI OHARA, MD PHD
  • Facility Address: 22 ODYSSEY STE 170 A
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 654-8963
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUN ICHI OHARA MD
  • NPI Number: 1578665667
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0946483
LAB Type Physician Office
Facility Name JUN ICHI OHARA, MD PHD
Street 22 ODYSSEY STE 170 A
City IRVINE
State CA
ZIP 92618
Phone 949 654-8963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Physician Office
Lab Director JUN ICHI OHARA MD

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