05D0979168 CLIA NUMBER - SARAH SANDELL MD FACP & SUSAN SLEEP MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0979168
  • Facility Name: SARAH SANDELL MD FACP & SUSAN SLEEP MD A MEDICAL CORPORATION
  • Facility Address: 3742 KATELLA AVE STE 302
    LOS ALAMITOS, CA
    ZIP 90720
  • Facility Phone: 562 936-0292
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARAH L. SANDELL MD
  • NPI Number: 1003983164
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0979168
LAB Type Physician Office
Facility Name SARAH SANDELL MD FACP & SUSAN SLEEP MD A MEDICAL CORPORATION
Street 3742 KATELLA AVE STE 302
City LOS ALAMITOS
State CA
ZIP 90720
Phone 562 936-0292
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director SARAH L. SANDELL MD

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This page was last updated on: 6/4/2025