05D2152739 CLIA NUMBER - HOAG CLINIC

Laboratory Demographics

  • CLIA Code: 05D2152739
  • Facility Name: HOAG CLINIC
  • Facility Address: 26671 ALISO CREEK RD, STE 202
    ALISO VIEJO, CA
    ZIP 92656
  • Facility Phone: 949 791-3065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JILL PANITCH
  • NPI Number: 1235517806
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2152739
LAB Type Physician Office
Facility Name HOAG CLINIC
Street 26671 ALISO CREEK RD, STE 202
City ALISO VIEJO
State CA
ZIP 92656
Phone 949 791-3065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director JILL PANITCH

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