05D2167799 CLIA NUMBER - DZENAN LULIC, MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2167799
  • Facility Name: DZENAN LULIC, MD A MEDICAL CORPORATION
  • Facility Address: 40700 CALIFORNIA OAKS ROAD, SUITE 207
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 412-0011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DZENAN LULIC
  • NPI Number: 1356503791
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2167799
LAB Type Physician Office
Facility Name DZENAN LULIC, MD A MEDICAL CORPORATION
Street 40700 CALIFORNIA OAKS ROAD, SUITE 207
City MURRIETA
State CA
ZIP 92562
Phone 951 412-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Physician Office
Lab Director DZENAN LULIC

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