05D1012354 CLIA NUMBER - ANAHEIM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D1012354
  • Facility Name: ANAHEIM PEDIATRICS
  • Facility Address: 1781 WEST ROMNEYA AVENUE SUITE E
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 774-0414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMILA MOUCHARRAFIE
  • NPI Number: 1780677120
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D1012354
LAB Type Physician Office
Facility Name ANAHEIM PEDIATRICS
Street 1781 WEST ROMNEYA AVENUE SUITE E
City ANAHEIM
State CA
ZIP 92801
Phone 714 774-0414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director JAMILA MOUCHARRAFIE

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