05D1007953 CLIA NUMBER - ANA C FAJARDO MD

Laboratory Demographics

CLIA Number: 05D1007953

Facility Name: ANA C FAJARDO MD

Facility Address:
845 E CHAPMAN AVENUE
ORANGE, CA
ZIP 92866
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Facility Phone Number: 714 633-3777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518260140

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	05D1007953
LAB Type	Physician Office
Facility Name	ANA C FAJARDO MD
Street	845 E CHAPMAN AVENUE
City	ORANGE
State	CA
ZIP	92866
Phone	714 633-3777
CertificateType	4
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Waiver

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