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05D2148525 CLIA NUMBER - PRIMARY AND MULTI-SPECIALTY CLINICS OF ANAHEIM, INC

Laboratory Demographics

CLIA Number: 05D2148525

Facility Name: PRIMARY AND MULTI-SPECIALTY CLINICS OF ANAHEIM, INC

Facility Address:
801 N TUSTIN AVE STE 602
SANTA ANA, CA
ZIP 92705
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Facility Phone Number: 714 517-2019

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1861907024

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 05D2148525
LAB Type Physician Office
Facility Name PRIMARY AND MULTI-SPECIALTY CLINICS OF ANAHEIM, INC
Street 801 N TUSTIN AVE STE 602
City SANTA ANA
State CA
ZIP 92705
Phone 714 517-2019
CertificateType 4
CertificateEffectiveDate 5/14/2024
CertificateExpirationDate 5/13/2026
FacilityType Waiver

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