05D1087552 CLIA NUMBER - UNIVERSITY CLINICAL INVESTIGATORS, INC

Laboratory Demographics

  • CLIA Code: 05D1087552
  • Facility Name: UNIVERSITY CLINICAL INVESTIGATORS, INC
  • Facility Address: 2492 WALNUT AVE STE 130
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 734-7944
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JEAN LOUIS SELAM MD
  • NPI Number: 1255707451
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1087552
LAB Type Other
Facility Name UNIVERSITY CLINICAL INVESTIGATORS, INC
Street 2492 WALNUT AVE STE 130
City TUSTIN
State CA
ZIP 92780
Phone 714 734-7944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Other
Lab Director JEAN LOUIS SELAM MD

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