05D2120654 CLIA NUMBER - PANGEA LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 05D2120654
  • Facility Name: PANGEA LABORATORY LLC
  • Facility Address: 14762 BENTLEY CIRCLE
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 949 346-9393
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JESS SAVALA
  • NPI Number: 1851915888
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2120654
LAB Type Independent
Facility Name PANGEA LABORATORY LLC
Street 14762 BENTLEY CIRCLE
City TUSTIN
State CA
ZIP 92780
Phone 949 346-9393
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Independent
Lab Director DR. JESS SAVALA

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