05D0958868 CLIA NUMBER - PACIFIC HEALING AND WELLNESS, INC

Laboratory Demographics

  • CLIA Code: 05D0958868
  • Facility Name: PACIFIC HEALING AND WELLNESS, INC
  • Facility Address: 5242 KATELLA AVENUE SUITE 106
    LOS ALAMITOS, CA
    ZIP 90720
  • Facility Phone: 562 431-5010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA L. GOINES
  • NPI Number: 1104117647
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0958868
LAB Type Physician Office
Facility Name PACIFIC HEALING AND WELLNESS, INC
Street 5242 KATELLA AVENUE SUITE 106
City LOS ALAMITOS
State CA
ZIP 90720
Phone 562 431-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director SANDRA L. GOINES

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