05D1005659 CLIA NUMBER - MELISSA R MANALO MD INC

Laboratory Demographics

  • CLIA Code: 05D1005659
  • Facility Name: MELISSA R MANALO MD INC
  • Facility Address: 3400 WEST BALL ROAD STE 210
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 714 826-2380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA R. MANALO MD
  • NPI Number: 1598774044
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1005659
LAB Type Physician Office
Facility Name MELISSA R MANALO MD INC
Street 3400 WEST BALL ROAD STE 210
City ANAHEIM
State CA
ZIP 92804
Phone 714 826-2380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director MELISSA R. MANALO MD

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