05D0967631 CLIA NUMBER - MARY P HARWARD, MD

Laboratory Demographics

  • CLIA Code: 05D0967631
  • Facility Name: MARY P HARWARD, MD
  • Facility Address: 1234 W CHAPMAN AVE #105
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 714 532-4915
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY P. HARWARD, MD
  • NPI Number: 1407835275
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0967631
LAB Type Physician Office
Facility Name MARY P HARWARD, MD
Street 1234 W CHAPMAN AVE #105
City ORANGE
State CA
ZIP 92868
Phone 714 532-4915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director MARY P. HARWARD, MD

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