05D0997672 CLIA NUMBER - LAURIE BLANSCET DO AN OSTEOPATHIC CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0997672
  • Facility Name: LAURIE BLANSCET DO AN OSTEOPATHIC CORPORATION
  • Facility Address: 29995 TECHNOLOGY DR STE 203
    MURRIETA, CA
    ZIP 92563
  • Facility Phone: 951 461-3021
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURIE J. BLANSCET DO
  • NPI Number: 1154399954
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0997672
LAB Type Physician Office
Facility Name LAURIE BLANSCET DO AN OSTEOPATHIC CORPORATION
Street 29995 TECHNOLOGY DR STE 203
City MURRIETA
State CA
ZIP 92563
Phone 951 461-3021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director LAURIE J. BLANSCET DO

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