05D2184551 CLIA NUMBER - KASEIN GONZALEZ MD INC

Laboratory Demographics

  • CLIA Code: 05D2184551
  • Facility Name: KASEIN GONZALEZ MD INC
  • Facility Address: 303 W KATELLA AVENUE, SUITE 308
    ORANGE, CA
    ZIP 92867
  • Facility Phone: 714 602-6660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KASEIN GONZALEZ
  • NPI Number: 1700049459
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2184551
LAB Type Physician Office
Facility Name KASEIN GONZALEZ MD INC
Street 303 W KATELLA AVENUE, SUITE 308
City ORANGE
State CA
ZIP 92867
Phone 714 602-6660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director KASEIN GONZALEZ

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