05D0953356 CLIA NUMBER - CENTERS FOR FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 05D0953356
  • Facility Name: CENTERS FOR FAMILY MEDICINE
  • Facility Address: 845 EAST CHAPMAN
    ORANGE, CA
    ZIP 92866
  • Facility Phone: 909 786-0844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS A. HRYNIEWICKI MD
  • NPI Number: 1992807341
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0953356
LAB Type Physician Office
Facility Name CENTERS FOR FAMILY MEDICINE
Street 845 EAST CHAPMAN
City ORANGE
State CA
ZIP 92866
Phone 909 786-0844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director THOMAS A. HRYNIEWICKI MD

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