05D2040304 CLIA NUMBER - MD TOX LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2040304
  • Facility Name: MD TOX LABORATORY
  • Facility Address: 1565 MCGAW, AVE STE B
    IRVINE, CA
    ZIP 92614
  • Facility Phone: 949 612-9883
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ARTHUR BACA
  • NPI Number: 1174882948
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2040304
LAB Type Independent
Facility Name MD TOX LABORATORY
Street 1565 MCGAW, AVE STE B
City IRVINE
State CA
ZIP 92614
Phone 949 612-9883
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Independent
Lab Director DR. ARTHUR BACA

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