05D2259845 CLIA NUMBER - ANGELIAN MANAGEMENT GROUP LLC (DBA) LAGUNA ADULT DAY HEALTH

Laboratory Demographics

  • CLIA Code: 05D2259845
  • Facility Name: ANGELIAN MANAGEMENT GROUP LLC (DBA) LAGUNA ADULT DAY HEALTH
  • Facility Address: 23551 MOULTON PARKWAY
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 309-1900
  • Facility Type: Other - ADULT DAY HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: ROGER SAMAWI
  • NPI Number: 1770139487
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2259845
LAB Type Other - ADULT DAY HEALTH CENTER
Facility Name ANGELIAN MANAGEMENT GROUP LLC (DBA) LAGUNA ADULT DAY HEALTH
Street 23551 MOULTON PARKWAY
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 309-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Other - ADULT DAY HEALTH CENTER
Lab Director ROGER SAMAWI

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