05D2028319 CLIA NUMBER - JEFFREY R. TAYLOR, M.D.

Laboratory Demographics

  • CLIA Code: 05D2028319
  • Facility Name: JEFFREY R. TAYLOR, M.D.
  • Facility Address: 1190 BAKER STREET, # 103
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 668-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAYLOR R. TAYLOR
  • NPI Number: 1598124877
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2028319
LAB Type Physician Office
Facility Name JEFFREY R. TAYLOR, M.D.
Street 1190 BAKER STREET, # 103
City COSTA MESA
State CA
ZIP 92626
Phone 714 668-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director TAYLOR R. TAYLOR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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