05D2102182 CLIA NUMBER - VANGUARD UNIVERSITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2102182
  • Facility Name: VANGUARD UNIVERSITY HEALTH CENTER
  • Facility Address: 55 FAIR DRIVE, 1ST FLOOR ATTN VU HEALTH CENTER
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 619-6459
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: PETER L. KIM, MD
  • NPI Number: 1811262454
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2102182
LAB Type School/Student Health Service
Facility Name VANGUARD UNIVERSITY HEALTH CENTER
Street 55 FAIR DRIVE, 1ST FLOOR ATTN VU HEALTH CENTER
City COSTA MESA
State CA
ZIP 92626
Phone 714 619-6459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type School/Student Health Service
Lab Director PETER L. KIM, MD

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