05D2235034 CLIA NUMBER - WESTERN PACIFIC MED-CORP

Laboratory Demographics

  • CLIA Code: 05D2235034
  • Facility Name: WESTERN PACIFIC MED-CORP
  • Facility Address: 275 VICTORIA STREET, STE# 1H
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 818 956-3737
  • Facility Type: Other - NARCOTIC TREATMENT P
  • Facility Type: Waiver
  • Lab Director: DAVID A. SAMI
  • NPI Number: 1003958976
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2235034
LAB Type Other - NARCOTIC TREATMENT P
Facility Name WESTERN PACIFIC MED-CORP
Street 275 VICTORIA STREET, STE# 1H
City COSTA MESA
State CA
ZIP 92627
Phone 818 956-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Other - NARCOTIC TREATMENT P
Lab Director DAVID A. SAMI

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