05D2077100 CLIA NUMBER - LAGUNA SC

Laboratory Demographics

  • CLIA Code: 05D2077100
  • Facility Name: LAGUNA SC
  • Facility Address: 150 LAGUNA RD STE B
    FULLERTON, CA
    ZIP 92835
  • Facility Phone: 714 871-9784
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WEIWAH R. KWOK, MD
  • NPI Number: 1124441852
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2077100
LAB Type Ambulatory Surgery Center
Facility Name LAGUNA SC
Street 150 LAGUNA RD STE B
City FULLERTON
State CA
ZIP 92835
Phone 714 871-9784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Ambulatory Surgery Center
Lab Director WEIWAH R. KWOK, MD

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