05D0994355 CLIA NUMBER - ANTONIO CARBAYO MD INC DBA FULL HEALTH UNIVERSITY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0994355
  • Facility Name: ANTONIO CARBAYO MD INC DBA FULL HEALTH UNIVERSITY MEDICAL CLINIC
  • Facility Address: 1911 N BROADWAY
    SANTA ANA, CA
    ZIP 92706
  • Facility Phone: 714 667-6900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO CARBAYO MD
  • NPI Number: 1033149356
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0994355
LAB Type Physician Office
Facility Name ANTONIO CARBAYO MD INC DBA FULL HEALTH UNIVERSITY MEDICAL CLINIC
Street 1911 N BROADWAY
City SANTA ANA
State CA
ZIP 92706
Phone 714 667-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director ANTONIO CARBAYO MD

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