05D1062911 CLIA NUMBER - ADEELA R AHSAN MD, INC

Laboratory Demographics

  • CLIA Code: 05D1062911
  • Facility Name: ADEELA R AHSAN MD, INC
  • Facility Address: 4870 BARRANCA PARKWAY SUITE 230
    IRVINE, CA
    ZIP 92604
  • Facility Phone: 949 552-1546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADEELA R. AHSAN MD
  • NPI Number: 1932103595
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1062911
LAB Type Physician Office
Facility Name ADEELA R AHSAN MD, INC
Street 4870 BARRANCA PARKWAY SUITE 230
City IRVINE
State CA
ZIP 92604
Phone 949 552-1546
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 ADEELA R. AHSAN MD

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