05D2223424 CLIA NUMBER - EMERITUS MEDICAL TECHNOLOGY LLC DBA EMERITUSDX

Laboratory Demographics

  • CLIA Code: 05D2223424
  • Facility Name: EMERITUS MEDICAL TECHNOLOGY LLC DBA EMERITUSDX
  • Facility Address: 12 SPECTRUM POINTE DRIVE
    LAKE FOREST, CA
    ZIP 92630
  • Facility Phone: 949 418-7225
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. HENRY C. TSAI
  • NPI Number: 1336733203
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2223424
LAB Type Independent
Facility Name EMERITUS MEDICAL TECHNOLOGY LLC DBA EMERITUSDX
Street 12 SPECTRUM POINTE DRIVE
City LAKE FOREST
State CA
ZIP 92630
Phone 949 418-7225
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Independent
Lab Director DR. HENRY C. TSAI

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