05D2183772 CLIA NUMBER - INTEGRITY HEALTH CARE PROVIDERS PC DBA OC MEDICAL TUSTIN

Laboratory Demographics

  • CLIA Code: 05D2183772
  • Facility Name: INTEGRITY HEALTH CARE PROVIDERS PC DBA OC MEDICAL TUSTIN
  • Facility Address: 14642 NEWPORT AVENUE, SUITE 270
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 442-6642
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTURO PORTALES
  • NPI Number: 1629500665
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2183772
LAB Type Physician Office
Facility Name INTEGRITY HEALTH CARE PROVIDERS PC DBA OC MEDICAL TUSTIN
Street 14642 NEWPORT AVENUE, SUITE 270
City TUSTIN
State CA
ZIP 92780
Phone 714 442-6642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director ARTURO PORTALES

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