05D0977867 CLIA NUMBER - SANTIAGO CANYON COLLEGE HEALTH AND WELLNESS CENTER

Laboratory Demographics

CLIA Number: 05D0977867

Facility Name: SANTIAGO CANYON COLLEGE HEALTH AND WELLNESS CENTER

Facility Address:
8045 E CHAPMAN AVE BLDG T RMS 103-105
ORANGE, CA
ZIP 92869
Get Directions

Facility Phone Number: 714 628-4773

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1386915593

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	05D0977867
LAB Type	School/Student Health Service
Facility Name	SANTIAGO CANYON COLLEGE HEALTH AND WELLNESS CENTER
Street	8045 E CHAPMAN AVE BLDG T RMS 103-105
City	ORANGE
State	CA
ZIP	92869
Phone	714 628-4773
CertificateType	4
CertificateEffectiveDate	9/9/2022
CertificateExpirationDate	9/8/2024
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