05D2207146 CLIA NUMBER - UNITED MEDICAL IMAGING OF FOUNTAIN VALLEY DBA UMI OF FOUNTIAN VALLEY

Laboratory Demographics

  • CLIA Code: 05D2207146
  • Facility Name: UNITED MEDICAL IMAGING OF FOUNTAIN VALLEY DBA UMI OF FOUNTIAN VALLEY
  • Facility Address: 11160 WARNER AVENUE SUITE 105
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 310 619-7500
  • Facility Type: Other - OUT PATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: GEORGE CHUN
  • NPI Number: 1639628357
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2207146
LAB Type Other - OUT PATIENT RADIOLOGY
Facility Name UNITED MEDICAL IMAGING OF FOUNTAIN VALLEY DBA UMI OF FOUNTIAN VALLEY
Street 11160 WARNER AVENUE SUITE 105
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 310 619-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - OUT PATIENT RADIOLOGY
Lab Director GEORGE CHUN

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