05D2160485 CLIA NUMBER - SADDLEBACK MEDICAL GROUP SUITE 330

Laboratory Demographics

  • CLIA Code: 05D2160485
  • Facility Name: SADDLEBACK MEDICAL GROUP SUITE 330
  • Facility Address: 24331 EL TORO RD SUITE 330
    LAGUNA HILLS, CA
    ZIP 92637
  • Facility Phone: 562 988-7027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRACY A. SIEGFRIED
  • NPI Number: 1124502265
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2160485
LAB Type Physician Office
Facility Name SADDLEBACK MEDICAL GROUP SUITE 330
Street 24331 EL TORO RD SUITE 330
City LAGUNA HILLS
State CA
ZIP 92637
Phone 562 988-7027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director TRACY A. SIEGFRIED

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