05D1005795 CLIA NUMBER - ANGELA HERRMANN MD INC

Laboratory Demographics

  • CLIA Code: 05D1005795
  • Facility Name: ANGELA HERRMANN MD INC
  • Facility Address: 630 SOUTH GLASSELL ST STE 106A
    ORANGE, CA
    ZIP 92866
  • Facility Phone: 714 639-9691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA L. HERRMANN MD
  • NPI Number: 1962403493
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1005795
LAB Type Physician Office
Facility Name ANGELA HERRMANN MD INC
Street 630 SOUTH GLASSELL ST STE 106A
City ORANGE
State CA
ZIP 92866
Phone 714 639-9691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director ANGELA L. HERRMANN MD

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