05D2013944 CLIA NUMBER - GRABOW MEDICAL GROUP, INC.

Laboratory Demographics

  • CLIA Code: 05D2013944
  • Facility Name: GRABOW MEDICAL GROUP, INC.
  • Facility Address: 400 N TUSTIN STE 470
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 242-4224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH R. GRABOW
  • NPI Number: 1942506530
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2013944
LAB Type Physician Office
Facility Name GRABOW MEDICAL GROUP, INC.
Street 400 N TUSTIN STE 470
City SANTA ANA
State CA
ZIP 92705
Phone 714 242-4224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director KENNETH R. GRABOW

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