05D0969799 CLIA NUMBER - SUNRISE MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0969799

Facility Name: SUNRISE MEDICAL GROUP

Facility Address:
5475 E LA PALMA AVE STE 100
ANAHEIM, CA
ZIP 92807
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Facility Phone Number: 714 970-0911

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518001114

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0969799
LAB Type	Physician Office
Facility Name	SUNRISE MEDICAL GROUP
Street	5475 E LA PALMA AVE STE 100
City	ANAHEIM
State	CA
ZIP	92807
Phone	714 970-0911
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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