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05D2003102 CLIA NUMBER - MISSION PAIN & SPINE

Laboratory Demographics

CLIA Number: 05D2003102

Facility Name: MISSION PAIN & SPINE

Facility Address:
26932 OSO PKWY #275
MISSION VIEJO, CA
ZIP 92691
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Facility Phone Number: 949 916-8100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1649386913

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 05D2003102
LAB Type Physician Office
Facility Name MISSION PAIN & SPINE
Street 26932 OSO PKWY #275
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 916-8100
CertificateType 4
CertificateEffectiveDate 2/2/2024
CertificateExpirationDate 2/1/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024