05D2215570 CLIA NUMBER - TRANSITION CARE TELEMETRY, INC

Laboratory Demographics

  • CLIA Code: 05D2215570
  • Facility Name: TRANSITION CARE TELEMETRY, INC
  • Facility Address: 30320 RANCHO VIEJO RD, STE 13
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Facility Phone: 888 757-2018
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. MOHAN MALLAM
  • NPI Number: 1255198990
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2215570
LAB Type Hospice
Facility Name TRANSITION CARE TELEMETRY, INC
Street 30320 RANCHO VIEJO RD, STE 13
City SAN JUAN CAPISTRANO
State CA
ZIP 92675
Phone 888 757-2018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Hospice
Lab Director DR. MOHAN MALLAM

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