05D2014222 CLIA NUMBER - SERVE THE PEOPLE COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2014222
  • Facility Name: SERVE THE PEOPLE COMMUNITY HEALTH CENTER
  • Facility Address: 1206 E 17TH STREET SUITE 101
    SANTA ANA, CA
    ZIP 92701
  • Facility Phone: 714 352-2911
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DIMITRI SIRAKOFF
  • NPI Number: 1770803462
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2014222
LAB Type Federally Qualified Health Center
Facility Name SERVE THE PEOPLE COMMUNITY HEALTH CENTER
Street 1206 E 17TH STREET SUITE 101
City SANTA ANA
State CA
ZIP 92701
Phone 714 352-2911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Federally Qualified Health Center
Lab Director DIMITRI SIRAKOFF

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