05D2084327 CLIA NUMBER - SADDLEBACK MEMORIAL RADIATION ONCOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 05D2084327
  • Facility Name: SADDLEBACK MEMORIAL RADIATION ONCOLOGY CENTER
  • Facility Address: 24302 PASEO DE VALENCIA
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 452-3573
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: VIVIAN MENDOZA
  • NPI Number: 1164517843
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2084327
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SADDLEBACK MEMORIAL RADIATION ONCOLOGY CENTER
Street 24302 PASEO DE VALENCIA
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 452-3573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director VIVIAN MENDOZA

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