05D2030467 CLIA NUMBER - INDEPENDENT OPTIONS INC HARBOR VILLAGE V

Laboratory Demographics

  • CLIA Code: 05D2030467
  • Facility Name: INDEPENDENT OPTIONS INC HARBOR VILLAGE V
  • Facility Address: 2541 SANTA CATALINA STE 108
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 951 279-2585
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SAID EL ZAYAT
  • NPI Number: 1851463483
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 05D2030467
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name INDEPENDENT OPTIONS INC HARBOR VILLAGE V
Street 2541 SANTA CATALINA STE 108
City COSTA MESA
State CA
ZIP 92626
Phone 951 279-2585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SAID EL ZAYAT

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