05D2172003 CLIA NUMBER - ORANGE COUNTY UROLOGY ASSOCIATES

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Laboratory Demographics

CLIA Number: 05D2172003

Facility Name: ORANGE COUNTY UROLOGY ASSOCIATES

Facility Address:
16305 SAN CANYON AVENUE #200
IRVINE, CA
ZIP 92618
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Facility Phone Number: 949 855-1101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386156842

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D2172003
LAB Type	Physician Office
Facility Name	ORANGE COUNTY UROLOGY ASSOCIATES
Street	16305 SAN CANYON AVENUE #200
City	IRVINE
State	CA
ZIP	92618
Phone	949 855-1101
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024