05D2123121 CLIA NUMBER - ADVANTAGE HEALTH SYSTEMS

Laboratory Demographics

  • CLIA Code: 05D2123121
  • Facility Name: ADVANTAGE HEALTH SYSTEMS
  • Facility Address: 151 KALMUS DR STE D-104
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 668-9302
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PIN HUNG HSIEH
  • NPI Number: 1871942029
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2123121
LAB Type Hospice
Facility Name ADVANTAGE HEALTH SYSTEMS
Street 151 KALMUS DR STE D-104
City COSTA MESA
State CA
ZIP 92626
Phone 714 668-9302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Hospice
Lab Director PIN HUNG HSIEH

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