05D2145216 CLIA NUMBER - AXIS I

Laboratory Demographics

CLIA Code: 05D2145216
Facility Name: AXIS I
Facility Address: 1604 W SANTA ANA BLVD
SANTA ANA, CA
ZIP 92703
Facility Phone: 949 933-7608
Facility Type: Independent
Facility Type: Waiver
Lab Director: RANDALL TURNER
NPI Number: 1134645716
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2145216
LAB Type	Independent
Facility Name	AXIS I
Street	1604 W SANTA ANA BLVD
City	SANTA ANA
State	CA
ZIP	92703
Phone	949 933-7608
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/3/2024
Certificate Expiration Date	3/2/2026
Facility Type	Independent
Lab Director	RANDALL TURNER

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