05D2058283 CLIA NUMBER - St Joseph Heritage Medical Group Garden Grove

Laboratory Demographics

CLIA Number: 05D2058283

Facility Name: St Joseph Heritage Medical Group Garden Grove

Facility Address:
12942 Harbor Blvd
Garden Grove, CA
ZIP 92840
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Facility Phone Number: (714) 628-3309

Facility Type: ANCILLARY TEST SITE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D2058283
LAB Type ANCILLARY TEST SITE
Facility Name St Joseph Heritage Medical Group Garden Grove
Street 12942 Harbor Blvd
City Garden Grove
State CA
ZIP 92840
Phone (714) 628-3309

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