05D1036775 CLIA NUMBER - ANGELA ALLEVATO MD INC

Laboratory Demographics

  • CLIA Code: 05D1036775
  • Facility Name: ANGELA ALLEVATO MD INC
  • Facility Address: 431 S BATAVIA ST SUITE 203
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 714 639-0662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA ALLEVATO MD
  • NPI Number: 1588609382
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1036775
LAB Type Physician Office
Facility Name ANGELA ALLEVATO MD INC
Street 431 S BATAVIA ST SUITE 203
City ORANGE
State CA
ZIP 92868
Phone 714 639-0662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director ANGELA ALLEVATO MD

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