05D2191820 CLIA NUMBER - MEMORIAL CARE HEALTH EXPRESS

Laboratory Demographics

  • CLIA Code: 05D2191820
  • Facility Name: MEMORIAL CARE HEALTH EXPRESS
  • Facility Address: 17390 BROOKHURST ST
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 377-6555
  • Facility Type: Other - EMPLOYEE HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: VINH NGUYEN
  • NPI Number: 1205167350
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2191820
LAB Type Other - EMPLOYEE HEALTH CLINIC
Facility Name MEMORIAL CARE HEALTH EXPRESS
Street 17390 BROOKHURST ST
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 377-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - EMPLOYEE HEALTH CLINIC
Lab Director VINH NGUYEN

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