05D2194250 CLIA NUMBER - TRUCHECK HEALTH LLC

Laboratory Demographics

  • CLIA Code: 05D2194250
  • Facility Name: TRUCHECK HEALTH LLC
  • Facility Address: 17671 IRVINE BLVD STE 211
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 251-4020
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: VITALY A. KUSHNIR
  • NPI Number: 1598344681
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2194250
LAB Type Mobile Laboratory
Facility Name TRUCHECK HEALTH LLC
Street 17671 IRVINE BLVD STE 211
City TUSTIN
State CA
ZIP 92780
Phone 714 251-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Mobile Laboratory
Lab Director VITALY A. KUSHNIR

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