05D2056870 CLIA NUMBER - OC HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2056870
  • Facility Name: OC HOSPICE
  • Facility Address: 13522 NEWPORT AVE., STE. 200
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 838-1542
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOHN WANG, MD
  • NPI Number: 1780989509
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2056870
LAB Type Hospice
Facility Name OC HOSPICE
Street 13522 NEWPORT AVE., STE. 200
City TUSTIN
State CA
ZIP 92780
Phone 714 838-1542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Hospice
Lab Director JOHN WANG, MD

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