05D2034456 CLIA NUMBER - SHLOMI ALBERT MD INC

Laboratory Demographics

  • CLIA Code: 05D2034456
  • Facility Name: SHLOMI ALBERT MD INC
  • Facility Address: 11160 WARNER AVE. STE 423
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 549-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT SHLOMI
  • NPI Number: 1144259946
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2034456
LAB Type Physician Office
Facility Name SHLOMI ALBERT MD INC
Street 11160 WARNER AVE. STE 423
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 549-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ALBERT SHLOMI

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