05D0964867 CLIA NUMBER - VSC HBO, LLC HEALTHBRIDGE CHILDREN'S HOSPITAL -ORANGE

Laboratory Demographics

  • CLIA Code: 05D0964867
  • Facility Name: VSC HBO, LLC HEALTHBRIDGE CHILDREN'S HOSPITAL -ORANGE
  • Facility Address: 393 S TUSTIN STREET
    ORANGE, CA
    ZIP 92866
  • Facility Phone: 714 289-2400
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: GHOLAM PEZ
  • NPI Number: 1528662954
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0964867
LAB Type Hospital
Facility Name VSC HBO, LLC HEALTHBRIDGE CHILDREN'S HOSPITAL -ORANGE
Street 393 S TUSTIN STREET
City ORANGE
State CA
ZIP 92866
Phone 714 289-2400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Hospital
Lab Director GHOLAM PEZ

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