05D1028519 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 05D1028519
  • Facility Name: CARELON HEALTH
  • Facility Address: 1521 S HARBOR BLVD
    FULLERTON, CA
    ZIP 92832
  • Facility Phone: 714 399-9222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANI EL-JAMMAL
  • NPI Number: 1215295753
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 05D1028519
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 1521 S HARBOR BLVD
City FULLERTON
State CA
ZIP 92832
Phone 714 399-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director HANI EL-JAMMAL

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