05D2047816 CLIA NUMBER - OC GASTROCARE

Laboratory Demographics

  • CLIA Code: 05D2047816
  • Facility Name: OC GASTROCARE
  • Facility Address: 408 S. BEACH BLVD, SUITE 211 - 212
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 714 527-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON S. YIP, MD
  • NPI Number: 1881032282
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2047816
LAB Type Physician Office
Facility Name OC GASTROCARE
Street 408 S. BEACH BLVD, SUITE 211 - 212
City ANAHEIM
State CA
ZIP 92804
Phone 714 527-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director JASON S. YIP, MD

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