05D2144603 CLIA NUMBER - WESTERN PACIFIC MED CORP

Laboratory Demographics

  • CLIA Code: 05D2144603
  • Facility Name: WESTERN PACIFIC MED CORP
  • Facility Address: 218 E COMMONWEALTH AVE
    FULLERTON, CA
    ZIP 92832
  • Facility Phone: 714 992-4770
  • Facility Type: Other - OPIOID TREATMNT PROGRAM
  • Facility Type: Waiver
  • Lab Director: DAVID SAMI
  • NPI Number: 1922447812
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2144603
LAB Type Other - OPIOID TREATMNT PROGRAM
Facility Name WESTERN PACIFIC MED CORP
Street 218 E COMMONWEALTH AVE
City FULLERTON
State CA
ZIP 92832
Phone 714 992-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Other - OPIOID TREATMNT PROGRAM
Lab Director DAVID SAMI

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