05D2159275 CLIA NUMBER - ALLEN E AUSTIN OD INC

Laboratory Demographics

  • CLIA Code: 05D2159275
  • Facility Name: ALLEN E AUSTIN OD INC
  • Facility Address: 1 CITY BLVD STE 111
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 714 634-0033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN E. AUSTIN
  • NPI Number: 1932250073
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2159275
LAB Type Physician Office
Facility Name ALLEN E AUSTIN OD INC
Street 1 CITY BLVD STE 111
City ORANGE
State CA
ZIP 92868
Phone 714 634-0033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director ALLEN E. AUSTIN

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