05D2090910 CLIA NUMBER - CRITTENTON SERVICES

Laboratory Demographics

  • CLIA Code: 05D2090910
  • Facility Name: CRITTENTON SERVICES
  • Facility Address: 600 N HARBOR BLVD
    FULLERTON, CA
    ZIP 92832
  • Facility Phone: 714 680-9068
  • Facility Type: Other - RESIDENTIAL GROUP HOME PH
  • Facility Type: Waiver
  • Lab Director: SWAPNA ROY
  • NPI Number: 1033497003
  • Taxonomy: 225400000X - Rehabilitation Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2090910
LAB Type Other - RESIDENTIAL GROUP HOME PH
Facility Name CRITTENTON SERVICES
Street 600 N HARBOR BLVD
City FULLERTON
State CA
ZIP 92832
Phone 714 680-9068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Other - RESIDENTIAL GROUP HOME PH
Lab Director SWAPNA ROY

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