05D1104648 CLIA NUMBER - CALIFORNIA MOLECULAR REFERENCE LABORATORY

Laboratory Demographics

  • CLIA Code: 05D1104648
  • Facility Name: CALIFORNIA MOLECULAR REFERENCE LABORATORY
  • Facility Address: 24407 CALLE DE LA LOUISA, STE 100
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 581-0555
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. THOMAS G. HIROSE
  • NPI Number: 1568698512
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D1104648
LAB Type Physician Office
Facility Name CALIFORNIA MOLECULAR REFERENCE LABORATORY
Street 24407 CALLE DE LA LOUISA, STE 100
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 581-0555
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director DR. THOMAS G. HIROSE

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