05D1058751 CLIA NUMBER - ARISTA MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D1058751

Facility Name: ARISTA MEDICAL CENTER

Facility Address:
1775 W LINCOLN AVE
ANAHEIM, CA
ZIP 92801
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Facility Phone Number: 714 491-9022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154375335

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1058751
LAB Type	Physician Office
Facility Name	ARISTA MEDICAL CENTER
Street	1775 W LINCOLN AVE
City	ANAHEIM
State	CA
ZIP	92801
Phone	714 491-9022
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024