05D2058796 CLIA NUMBER - HOAG MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2058796

Facility Name: HOAG MEDICAL GROUP

Facility Address:
4870 BARRANCA PKWY STE 300
IRVINE, CA
ZIP 92604
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Facility Phone Number: 949 791-3065

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558611632

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2058796
LAB Type	Physician Office
Facility Name	HOAG MEDICAL GROUP
Street	4870 BARRANCA PKWY STE 300
City	IRVINE
State	CA
ZIP	92604
Phone	949 791-3065
CertificateType	4
CertificateEffectiveDate	5/15/2023
CertificateExpirationDate	5/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024