05D2076635 CLIA NUMBER - UNIVERSAL HEALTH NET

Laboratory Demographics

  • CLIA Code: 05D2076635
  • Facility Name: UNIVERSAL HEALTH NET
  • Facility Address: 2099 S STATE COLLEGE BLVD, STE 330
    ANAHEIM, CA
    ZIP 92806
  • Facility Phone: 714 941-9053
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: OMAR FADEEL
  • NPI Number: 1821330325
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2076635
LAB Type Hospice
Facility Name UNIVERSAL HEALTH NET
Street 2099 S STATE COLLEGE BLVD, STE 330
City ANAHEIM
State CA
ZIP 92806
Phone 714 941-9053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Hospice
Lab Director OMAR FADEEL

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