05D2231512 CLIA NUMBER - PHLEBOTOMY DIRECT, LLC

Laboratory Demographics

  • CLIA Code: 05D2231512
  • Facility Name: PHLEBOTOMY DIRECT, LLC
  • Facility Address: 401 E BISHOP ST
    SANTA ANA, CA
    ZIP 92701
  • Facility Phone: 714 497-0497
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JACQUELINE M. GUERRERO
  • NPI Number: 1629695432
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2231512
LAB Type Mobile Laboratory
Facility Name PHLEBOTOMY DIRECT, LLC
Street 401 E BISHOP ST
City SANTA ANA
State CA
ZIP 92701
Phone 714 497-0497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Mobile Laboratory
Lab Director JACQUELINE M. GUERRERO

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