05D2053920 CLIA NUMBER - OC URGENT CARE MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2053920
  • Facility Name: OC URGENT CARE MEDICAL GROUP INC
  • Facility Address: 8101 NEWMAN AVE STE A
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 714 698-8580
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: NAHLA H. SALEM MD
  • NPI Number: 1336682913
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2053920
LAB Type Other - URGENT CARE
Facility Name OC URGENT CARE MEDICAL GROUP INC
Street 8101 NEWMAN AVE STE A
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 714 698-8580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2023
Certificate Expiration Date 6/18/2025
Facility Type Other - URGENT CARE
Lab Director NAHLA H. SALEM MD

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This page was last updated on: 3/20/2025