05D1009512 CLIA NUMBER - ANJALI MONGA MD INC

Laboratory Demographics

  • CLIA Code: 05D1009512
  • Facility Name: ANJALI MONGA MD INC
  • Facility Address: 15825 LAGUNA CYN RD STE 102
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 733-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJALI MONGA MD
  • NPI Number: 1447318498
  • Taxonomy: 173000000X - Legal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1009512
LAB Type Physician Office
Facility Name ANJALI MONGA MD INC
Street 15825 LAGUNA CYN RD STE 102
City IRVINE
State CA
ZIP 92618
Phone 949 733-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director ANJALI MONGA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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