05D2058152 CLIA NUMBER - Avalon Medical Associates Inc

Laboratory Demographics

CLIA Number: 05D2058152

Facility Name: Avalon Medical Associates Inc

Facility Address:
1545 Nutmeg Pl
Costa Mesa, CA
ZIP 92626
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Facility Phone Number: (714) 617-5956

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D2058152
LAB Type COMPREHENSIVE OUTPATIENT REHAB
Facility Name Avalon Medical Associates Inc
Street 1545 Nutmeg Pl
City Costa Mesa
State CA
ZIP 92626
Phone (714) 617-5956

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This page was last updated on: 12/19/2019