05D0946857 CLIA NUMBER - SOUTHLAND INTEGRATED SERVICES, INC

Laboratory Demographics

  • CLIA Code: 05D0946857
  • Facility Name: SOUTHLAND INTEGRATED SERVICES, INC
  • Facility Address: 9862 CHAPMAN AVE STE B
    GARDEN GROVE, CA
    ZIP 92841
  • Facility Phone: 714 620-7001
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NGUYEN THUY ANH
  • NPI Number: 1285708818
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0946857
LAB Type Community Clinic
Facility Name SOUTHLAND INTEGRATED SERVICES, INC
Street 9862 CHAPMAN AVE STE B
City GARDEN GROVE
State CA
ZIP 92841
Phone 714 620-7001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Community Clinic
Lab Director NGUYEN THUY ANH

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