05D2113699 CLIA NUMBER - MY MD, INC.

Laboratory Demographics

  • CLIA Code: 05D2113699
  • Facility Name: MY MD, INC.
  • Facility Address: 2680 N SANTIAGO BLVD STE 100
    ORANGE, CA
    ZIP 92867
  • Facility Phone: 714 602-7615
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALMA A. FARUKHI, MD
  • NPI Number: 1679069298
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2113699
LAB Type Physician Office
Facility Name MY MD, INC.
Street 2680 N SANTIAGO BLVD STE 100
City ORANGE
State CA
ZIP 92867
Phone 714 602-7615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director SALMA A. FARUKHI, MD

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