05D1104941 CLIA NUMBER - ANAHEIM MARKET CLINIC

Laboratory Demographics

  • CLIA Code: 05D1104941
  • Facility Name: ANAHEIM MARKET CLINIC
  • Facility Address: 1311 S ANAHEIM BLVD
    ANAHEIM, CA
    ZIP 92805
  • Facility Phone: 714 635-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HITESH PATEL
  • NPI Number: 1790916237
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1104941
LAB Type Physician Office
Facility Name ANAHEIM MARKET CLINIC
Street 1311 S ANAHEIM BLVD
City ANAHEIM
State CA
ZIP 92805
Phone 714 635-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director HITESH PATEL

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