05D1008528 CLIA NUMBER - MIRNA CHAMBI

Laboratory Demographics

  • CLIA Code: 05D1008528
  • Facility Name: MIRNA CHAMBI
  • Facility Address: 7151 LINCOLN AVE, SUITE B
    BUENA PARK, CA
    ZIP 90620
  • Facility Phone: 714 630-6363
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MIRNA R. CHAMBI MD
  • NPI Number: 1104853514
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1008528
LAB Type Ambulance
Facility Name MIRNA CHAMBI
Street 7151 LINCOLN AVE, SUITE B
City BUENA PARK
State CA
ZIP 90620
Phone 714 630-6363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Ambulance
Lab Director MIRNA R. CHAMBI MD

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