05D1051243 CLIA NUMBER - LESTONNAC FREE CLINIC

Laboratory Demographics

  • CLIA Code: 05D1051243
  • Facility Name: LESTONNAC FREE CLINIC
  • Facility Address: 1215 E CHAPMAN AVE
    ORANGE, CA
    ZIP 92866
  • Facility Phone: 714 583-6431
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PAUL MANSONHING, MD
  • NPI Number: 1457724023
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1051243
LAB Type Community Clinic
Facility Name LESTONNAC FREE CLINIC
Street 1215 E CHAPMAN AVE
City ORANGE
State CA
ZIP 92866
Phone 714 583-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Community Clinic
Lab Director PAUL MANSONHING, MD

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