05D0988198 CLIA NUMBER - CENTERS FOR FAMILY MEDICINE DBA OPTUM

Laboratory Demographics

  • CLIA Code: 05D0988198
  • Facility Name: CENTERS FOR FAMILY MEDICINE DBA OPTUM
  • Facility Address: 761 S WEIR CANYON RD STE 185
    ANAHEIM, CA
    ZIP 92808
  • Facility Phone: 562 988-7027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRATIK GANDHI
  • NPI Number: 1386673077
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0988198
LAB Type Physician Office
Facility Name CENTERS FOR FAMILY MEDICINE DBA OPTUM
Street 761 S WEIR CANYON RD STE 185
City ANAHEIM
State CA
ZIP 92808
Phone 562 988-7027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director PRATIK GANDHI

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