05D1047141 CLIA NUMBER - MANISH B MAROLIA, MD INC

Laboratory Demographics

  • CLIA Code: 05D1047141
  • Facility Name: MANISH B MAROLIA, MD INC
  • Facility Address: 11180 WARNER AVE STE 380
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 596-5557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANISH B. MAROLIA
  • NPI Number: 1962581363
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1047141
LAB Type Physician Office
Facility Name MANISH B MAROLIA, MD INC
Street 11180 WARNER AVE STE 380
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 596-5557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director MANISH B. MAROLIA

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