05D2086134 CLIA NUMBER - UC IRVINE HEALTH MEDICAL

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Laboratory Demographics

CLIA Number: 05D2086134

Facility Name: UC IRVINE HEALTH MEDICAL

Facility Address:
293 S MAIN STREET, SUITE 200
ORANGE, CA
ZIP 92868
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Facility Phone Number: 714 838-8848

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649660242

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2086134
LAB Type	Physician Office
Facility Name	UC IRVINE HEALTH MEDICAL
Street	293 S MAIN STREET, SUITE 200
City	ORANGE
State	CA
ZIP	92868
Phone	714 838-8848
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

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