05D2268585 CLIA NUMBER - SOCAL GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 05D2268585
  • Facility Name: SOCAL GASTROENTEROLOGY
  • Facility Address: 10931 CHERRY ST, STE 300
    LOS ALAMITOS, CA
    ZIP 90720
  • Facility Phone: 562 493-1011
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROOBA WARDEH
  • NPI Number: 1124770508
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2268585
LAB Type Physician Office
Facility Name SOCAL GASTROENTEROLOGY
Street 10931 CHERRY ST, STE 300
City LOS ALAMITOS
State CA
ZIP 90720
Phone 562 493-1011
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/19/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ROOBA WARDEH

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