05D2123416 CLIA NUMBER - OCTLC, INC

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CLIA Record

Field Name Field Value
CLIA Number 05D2123416
LAB Type Physician Office
Facility Name OCTLC, INC
Street 7898 EAST AUTRY DR
City ANAHEIM
State CA
ZIP 92808
Phone 714 376-5889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director EUGENE DORSEY, MD

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