05D2168637 CLIA NUMBER - KHALDOUN DEBIAN MD INC

Laboratory Demographics

  • CLIA Code: 05D2168637
  • Facility Name: KHALDOUN DEBIAN MD INC
  • Facility Address: 17400 IRVINE BLVD, STE F
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 937-9400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RANA RICHEH
  • NPI Number: 1932168796
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2168637
LAB Type Physician Office
Facility Name KHALDOUN DEBIAN MD INC
Street 17400 IRVINE BLVD, STE F
City TUSTIN
State CA
ZIP 92780
Phone 714 937-9400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/28/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director RANA RICHEH

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