05D1074962 CLIA NUMBER - CHEST AND CRITICAL CARE CONSULTANTS

Laboratory Demographics

CLIA Number: 05D1074962

Facility Name: CHEST AND CRITICAL CARE CONSULTANTS

Facility Address:
999 N TUSTIN AVE STE 1
SANTA ANA, CA
ZIP 92705
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Facility Phone Number: 714 836-6800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295118362

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	05D1074962
LAB Type	Physician Office
Facility Name	CHEST AND CRITICAL CARE CONSULTANTS
Street	999 N TUSTIN AVE STE 1
City	SANTA ANA
State	CA
ZIP	92705
Phone	714 836-6800
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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