05D2153193 CLIA NUMBER - CADUCEUS PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP

Laboratory Demographics

CLIA Number: 05D2153193

Facility Name: CADUCEUS PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP

Facility Address:
7630 E CHAPMAN AVE, STE B
ORANGE, CA
ZIP 92869
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Facility Phone Number: 714 646-8025

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285820340

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	05D2153193
LAB Type	Physician Office
Facility Name	CADUCEUS PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP
Street	7630 E CHAPMAN AVE, STE B
City	ORANGE
State	CA
ZIP	92869
Phone	714 646-8025
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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