05D1057487 CLIA NUMBER - KATHERINE MANASSON, MD INC

Laboratory Demographics

  • CLIA Code: 05D1057487
  • Facility Name: KATHERINE MANASSON, MD INC
  • Facility Address: 22442 AVENIDA DE LA CARLOTA, SUITE 272
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 466-6783
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATHERINE MANASSON
  • NPI Number: 1538178611
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1057487
LAB Type Physician Office
Facility Name KATHERINE MANASSON, MD INC
Street 22442 AVENIDA DE LA CARLOTA, SUITE 272
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 466-6783
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director DR. KATHERINE MANASSON

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