05D2161757 CLIA NUMBER - INTERCARE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D2161757
  • Facility Name: INTERCARE MEDICAL CLINIC
  • Facility Address: 7895 WESTMINSTER BLVD
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 379-4797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THU T. TRAN ANH
  • NPI Number: 1760950588
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2161757
LAB Type Physician Office
Facility Name INTERCARE MEDICAL CLINIC
Street 7895 WESTMINSTER BLVD
City WESTMINSTER
State CA
ZIP 92683
Phone 714 379-4797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director DR. THU T. TRAN ANH

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