05D2216487 CLIA NUMBER - DEBRA MILLER, MD

Laboratory Demographics

  • CLIA Code: 05D2216487
  • Facility Name: DEBRA MILLER, MD
  • Facility Address: 32322 COAST HWY STE F
    LAGUNA BEACH, CA
    ZIP 92651
  • Facility Phone: 949 499-5111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBRA MILLER
  • NPI Number: 1184754517
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2216487
LAB Type Physician Office
Facility Name DEBRA MILLER, MD
Street 32322 COAST HWY STE F
City LAGUNA BEACH
State CA
ZIP 92651
Phone 949 499-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director DEBRA MILLER

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