05D2063027 CLIA NUMBER - BREA URGENT CARE INC

Laboratory Demographics

  • CLIA Code: 05D2063027
  • Facility Name: BREA URGENT CARE INC
  • Facility Address: 395 W CENTRAL AVE STE A
    BREA, CA
    ZIP 92821
  • Facility Phone: 714 494-2828
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: PRAVIN SHAW
  • NPI Number: 1639413388
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2063027
LAB Type Other - URGENT CARE
Facility Name BREA URGENT CARE INC
Street 395 W CENTRAL AVE STE A
City BREA
State CA
ZIP 92821
Phone 714 494-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Other - URGENT CARE
Lab Director PRAVIN SHAW

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