05D0989066 CLIA NUMBER - SMITA TANDON MD

Laboratory Demographics

  • CLIA Code: 05D0989066
  • Facility Name: SMITA TANDON MD
  • Facility Address: 11100 WARNER AVE STE 368
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 241-1777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SMITA TANDON MD
  • NPI Number: 1205835634
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0989066
LAB Type Physician Office
Facility Name SMITA TANDON MD
Street 11100 WARNER AVE STE 368
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 241-1777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director SMITA TANDON MD

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