05D2265819 CLIA NUMBER - CANCER CENTER IMAGING DBA IMAGING CENTER OF IRVINE

Laboratory Demographics

  • CLIA Code: 05D2265819
  • Facility Name: CANCER CENTER IMAGING DBA IMAGING CENTER OF IRVINE
  • Facility Address: 16100 SAND CANYON AVE STE 130
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 502-3475
  • Facility Type: Other - DIAG IMAGINING FACILITY
  • Facility Type: Waiver
  • Lab Director: KENNETH M. TOKITA
  • NPI Number: 1275838336
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2265819
LAB Type Other - DIAG IMAGINING FACILITY
Facility Name CANCER CENTER IMAGING DBA IMAGING CENTER OF IRVINE
Street 16100 SAND CANYON AVE STE 130
City IRVINE
State CA
ZIP 92618
Phone 949 502-3475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Other - DIAG IMAGINING FACILITY
Lab Director KENNETH M. TOKITA

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