05D1073761 CLIA NUMBER - MEMORIALCARE DIGESTIVE CARE CENTER SADDLEBACK MEMORIAL

Laboratory Demographics

  • CLIA Code: 05D1073761
  • Facility Name: MEMORIALCARE DIGESTIVE CARE CENTER SADDLEBACK MEMORIAL
  • Facility Address: 24411 HEALTH CENTER DR STE 450
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 586-9386
  • Facility Type: Other - AMBULATORY SURGERY CENTER
  • Facility Type: Waiver
  • Lab Director: DR. DALIA IBRAHIM
  • NPI Number: 1417935206
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1073761
LAB Type Other - AMBULATORY SURGERY CENTER
Facility Name MEMORIALCARE DIGESTIVE CARE CENTER SADDLEBACK MEMORIAL
Street 24411 HEALTH CENTER DR STE 450
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 586-9386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Other - AMBULATORY SURGERY CENTER
Lab Director DR. DALIA IBRAHIM

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