05D2152412 CLIA NUMBER - MOHS-TEK, INC

Laboratory Demographics

  • CLIA Code: 05D2152412
  • Facility Name: MOHS-TEK, INC
  • Facility Address: 1342 BELL AVE STE 3H
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 949 559-6647
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: CALVIN MARANTZ
  • NPI Number: 1326234204
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2152412
LAB Type Independent
Facility Name MOHS-TEK, INC
Street 1342 BELL AVE STE 3H
City TUSTIN
State CA
ZIP 92780
Phone 949 559-6647
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/14/2021
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director CALVIN MARANTZ

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