05D2057780 CLIA NUMBER - HOAG CLINIC

Laboratory Demographics

  • CLIA Code: 05D2057780
  • Facility Name: HOAG CLINIC
  • Facility Address: 16300 SAND CANYON, STE 311
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 791-3065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JILL PANITCH
  • NPI Number: 1558611632
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2057780
LAB Type Physician Office
Facility Name HOAG CLINIC
Street 16300 SAND CANYON, STE 311
City IRVINE
State CA
ZIP 92618
Phone 949 791-3065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director JILL PANITCH

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This page was last updated on: 6/4/2025