05D2203373 CLIA NUMBER - TRANSFORMATION HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 05D2203373
  • Facility Name: TRANSFORMATION HEALTH & WELLNESS
  • Facility Address: 6200 CANYON RIM RD 105 B
    ANAHEIM, CA
    ZIP 92807
  • Facility Phone: 714 900-3091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE SAMMONS DO
  • NPI Number: 1003420381
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2203373
LAB Type Physician Office
Facility Name TRANSFORMATION HEALTH & WELLNESS
Street 6200 CANYON RIM RD 105 B
City ANAHEIM
State CA
ZIP 92807
Phone 714 900-3091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director JACQUELINE SAMMONS DO

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