05D2215740 CLIA NUMBER - VALLEY WOMENS CARE LLC

Laboratory Demographics

  • CLIA Code: 05D2215740
  • Facility Name: VALLEY WOMENS CARE LLC
  • Facility Address: 2501 E CHAPMAN AVE UNIT 107
    FULLERTON, CA
    ZIP 92831
  • Facility Phone: 480 307-4616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRNA DEMIRDJIAN
  • NPI Number: 1366797581
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2215740
LAB Type Physician Office
Facility Name VALLEY WOMENS CARE LLC
Street 2501 E CHAPMAN AVE UNIT 107
City FULLERTON
State CA
ZIP 92831
Phone 480 307-4616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director MIRNA DEMIRDJIAN

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