05D2212453 CLIA NUMBER - NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION

Laboratory Demographics

CLIA Number: 05D2212453

Facility Name: NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION

Facility Address:
1182 N EUCLID ST
ANAHEIM, CA
ZIP 92801
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Facility Phone Number: 714 441-0411

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1194974402

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2212453
LAB Type	Federally Qualified Health Center
Facility Name	NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION
Street	1182 N EUCLID ST
City	ANAHEIM
State	CA
ZIP	92801
Phone	714 441-0411
CertificateType	4
CertificateEffectiveDate	2/4/2023
CertificateExpirationDate	2/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024