05D2192525 CLIA NUMBER - CELEBRATING LIFE COMMINITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2192525
  • Facility Name: CELEBRATING LIFE COMMINITY HEALTH CENTER
  • Facility Address: 27800 MEDICAL CENTER ROAD SUITE 110
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 949 433-6686
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN N. LE
  • NPI Number: 1386273100
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2192525
LAB Type Community Clinic
Facility Name CELEBRATING LIFE COMMINITY HEALTH CENTER
Street 27800 MEDICAL CENTER ROAD SUITE 110
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 433-6686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Community Clinic
Lab Director JOHN N. LE

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This page was last updated on: 3/20/2025