05D1002243 CLIA NUMBER - RONALD S MANDEL DO

Laboratory Demographics

  • CLIA Code: 05D1002243
  • Facility Name: RONALD S MANDEL DO
  • Facility Address: 25411 CABOT RD STE 115
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 362-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD S. MANDEL MD
  • NPI Number: 1659335420
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1002243
LAB Type Physician Office
Facility Name RONALD S MANDEL DO
Street 25411 CABOT RD STE 115
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 362-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director RONALD S. MANDEL MD

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This page was last updated on: 6/4/2025