05D2153904 CLIA NUMBER - SAINT YOUSTINA

Laboratory Demographics

  • CLIA Code: 05D2153904
  • Facility Name: SAINT YOUSTINA
  • Facility Address: 809 S. MAIN STREET SUITE A
    SANTA ANA, CA
    ZIP 92701
  • Facility Phone: 714 973-7770
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ISAAC N. BESHAY MD
  • NPI Number: 1740822360
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2153904
LAB Type Community Clinic
Facility Name SAINT YOUSTINA
Street 809 S. MAIN STREET SUITE A
City SANTA ANA
State CA
ZIP 92701
Phone 714 973-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Community Clinic
Lab Director ISAAC N. BESHAY MD

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