05D1081468 CLIA NUMBER - SDS CLINICAL TRIALS

Laboratory Demographics

CLIA Number: 05D1081468

Facility Name: SDS CLINICAL TRIALS

Facility Address:
1535 E 17TH ST, STE 101
SANTA ANA, CA
ZIP 92705
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Facility Phone Number: 714 834-1565

Facility Type: Other - RESEARCH FACILITY

Certificate Type: Waiver

NPI Number: 1760071252

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

CLIA Record

Field Name	Field Value
CLIA Number	05D1081468
LAB Type	Other - RESEARCH FACILITY
Facility Name	SDS CLINICAL TRIALS
Street	1535 E 17TH ST, STE 101
City	SANTA ANA
State	CA
ZIP	92705
Phone	714 834-1565
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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