05D1038578 CLIA NUMBER - CARMEN TERREROS MD INC

Laboratory Demographics

  • CLIA Code: 05D1038578
  • Facility Name: CARMEN TERREROS MD INC
  • Facility Address: 801 N TUSTIN SUITE 607
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 541-4145
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN E. TERREROS MD
  • NPI Number: 1093975229
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1038578
LAB Type Physician Office
Facility Name CARMEN TERREROS MD INC
Street 801 N TUSTIN SUITE 607
City SANTA ANA
State CA
ZIP 92705
Phone 714 541-4145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director CARMEN E. TERREROS MD

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