05D2179963 CLIA NUMBER - SUN MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D2179963
  • Facility Name: SUN MEDICAL GROUP, INC
  • Facility Address: 27522 ANTONIO PARKWAY SUITE P3
    LADERA RANCH, CA
    ZIP 92694
  • Facility Phone: 949 207-3786
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRANDA DELUNA MD
  • NPI Number: 1114588704
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2179963
LAB Type Physician Office
Facility Name SUN MEDICAL GROUP, INC
Street 27522 ANTONIO PARKWAY SUITE P3
City LADERA RANCH
State CA
ZIP 92694
Phone 949 207-3786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director MIRANDA DELUNA MD

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