05D1038283 CLIA NUMBER - DANIEL JIMENEZ, MD INC DBA JIMENEZ MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D1038283
  • Facility Name: DANIEL JIMENEZ, MD INC DBA JIMENEZ MEDICAL GROUP, INC
  • Facility Address: 801 N TUSTIN AVE STE 601
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 565-1077
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL JIMENEZ MD
  • NPI Number: 1255466801
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1038283
LAB Type Physician Office
Facility Name DANIEL JIMENEZ, MD INC DBA JIMENEZ MEDICAL GROUP, INC
Street 801 N TUSTIN AVE STE 601
City SANTA ANA
State CA
ZIP 92705
Phone 714 565-1077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director DANIEL JIMENEZ MD

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