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05D2183789 CLIA NUMBER - JEREMY LAMOTTE MD DBA STARWEST MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D2183789

Facility Name: JEREMY LAMOTTE MD DBA STARWEST MEDICAL GROUP

Facility Address:
24953 PASE DE VALENCIA STE 10B
LAGUNA HILLS, CA
ZIP 92653
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Facility Phone Number: 949 900-2393

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1659820298

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name Field Value
CLIA Number 05D2183789
LAB Type Physician Office
Facility Name JEREMY LAMOTTE MD DBA STARWEST MEDICAL GROUP
Street 24953 PASE DE VALENCIA STE 10B
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 900-2393
CertificateType 4
CertificateEffectiveDate 5/11/2022
CertificateExpirationDate 5/10/2024
FacilityType Waiver

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