05D2000460 CLIA NUMBER - MOON M. OH, MD, INC.

Laboratory Demographics

  • CLIA Code: 05D2000460
  • Facility Name: MOON M. OH, MD, INC.
  • Facility Address: 3500 BARRANCA PKWY STE 330
    IRVINE, CA
    ZIP 92606
  • Facility Phone: 949 552-8217
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOON M. OH, MD
  • NPI Number: 1174756357
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2000460
LAB Type Physician Office
Facility Name MOON M. OH, MD, INC.
Street 3500 BARRANCA PKWY STE 330
City IRVINE
State CA
ZIP 92606
Phone 949 552-8217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director MOON M. OH, MD

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