05D1089758 CLIA NUMBER - ADVANCED WOUND HEALING & HYPERBARIC MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 05D1089758
  • Facility Name: ADVANCED WOUND HEALING & HYPERBARIC MEDICINE CENTER
  • Facility Address: 26137 LA PAZ RD SUITE 120
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 949 452-3309
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MICHELLE FAJARDO
  • NPI Number: 1245766260
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1089758
LAB Type Other
Facility Name ADVANCED WOUND HEALING & HYPERBARIC MEDICINE CENTER
Street 26137 LA PAZ RD SUITE 120
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 452-3309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Other
Lab Director MICHELLE FAJARDO

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