05D0997366 CLIA NUMBER - OC FAMILY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D0997366

Facility Name: OC FAMILY MEDICAL CENTER

Facility Address:
2401 W CHAPMAN AVE STE 201
ORANGE, CA
ZIP 92868
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Facility Phone Number: 657 236-4909

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528398773

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0997366
LAB Type	Physician Office
Facility Name	OC FAMILY MEDICAL CENTER
Street	2401 W CHAPMAN AVE STE 201
City	ORANGE
State	CA
ZIP	92868
Phone	657 236-4909
CertificateType	4
CertificateEffectiveDate	3/13/2024
CertificateExpirationDate	3/12/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024