05D2121222 CLIA NUMBER - ANDREA ROBERSON, D.O. INC.

Laboratory Demographics

CLIA Number: 05D2121222

Facility Name: ANDREA ROBERSON, D.O. INC.

Facility Address:
105 AVENIDA DE LA ESTRELLA STE 1A
SAN CLEMENTE, CA
ZIP 92672
Get Directions

Facility Phone Number: 949 586-8000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952338600

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 05D2121222
LAB Type Physician Office
Facility Name ANDREA ROBERSON, D.O. INC.
Street 105 AVENIDA DE LA ESTRELLA STE 1A
City SAN CLEMENTE
State CA
ZIP 92672
Phone 949 586-8000
CertificateType 4
CertificateEffectiveDate 11/1/2022
CertificateExpirationDate 10/31/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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