05D0967631 CLIA NUMBER - MARY P HARWARD, MD

Laboratory Demographics

CLIA Number: 05D0967631

Facility Name: MARY P HARWARD, MD

Facility Address:
1234 W CHAPMAN AVE #105
ORANGE, CA
ZIP 92868
Get Directions

Facility Phone Number: 714 532-4915

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407835275

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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
CertificateType	4
CertificateEffectiveDate	11/18/2023
CertificateExpirationDate	11/17/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024