05D2178258 CLIA NUMBER - ALISON MANN, MD

Laboratory Demographics

  • CLIA Code: 05D2178258
  • Facility Name: ALISON MANN, MD
  • Facility Address: 1190 BAKER STREET SUITE 103
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 668-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALISON MANN
  • NPI Number: 1457433542
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2178258
LAB Type Physician Office
Facility Name ALISON MANN, MD
Street 1190 BAKER STREET SUITE 103
City COSTA MESA
State CA
ZIP 92626
Phone 714 668-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director ALISON MANN

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