05D2189129 CLIA NUMBER - LAM CLINIC

Laboratory Demographics

  • CLIA Code: 05D2189129
  • Facility Name: LAM CLINIC
  • Facility Address: 2492 WALNUT AVENUE SUITE 100
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 709-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEREMY LAM
  • NPI Number: 1184277063
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2189129
LAB Type Physician Office
Facility Name LAM CLINIC
Street 2492 WALNUT AVENUE SUITE 100
City TUSTIN
State CA
ZIP 92780
Phone 714 709-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director JEREMY LAM

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