05D2152814 CLIA NUMBER - OC CARDIOVASCULAR CARE INC

Laboratory Demographics

  • CLIA Code: 05D2152814
  • Facility Name: OC CARDIOVASCULAR CARE INC
  • Facility Address: 11180 WARNER AVE STE 457
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 488-2120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUAN A. NGUYEN
  • NPI Number: 1346737905
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2152814
LAB Type Physician Office
Facility Name OC CARDIOVASCULAR CARE INC
Street 11180 WARNER AVE STE 457
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 488-2120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director TUAN A. NGUYEN

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