05D1098339 CLIA NUMBER - HEMATOLOGY ADVANCED DIAGNOSTICS

Laboratory Demographics

CLIA Number: 05D1098339

Facility Name: HEMATOLOGY ADVANCED DIAGNOSTICS

Facility Address:
1201 W LAVETA AVE CHOC CHILDRENS HOSP RESEARCH BLDG 5TH FL RM 560
ORANGE, CA
ZIP 92868
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Facility Phone Number: (714) 509-8744

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1710939962

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	05D1098339
LAB Type	HOSPITAL
Facility Name	HEMATOLOGY ADVANCED DIAGNOSTICS
Street	1201 W LAVETA AVE CHOC CHILDRENS HOSP RESEARCH BLDG 5TH FL RM 560
City	ORANGE
State	CA
ZIP	92868
Phone	(714) 509-8744

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This page was last updated on: 5/11/2023