05D2270134 CLIA NUMBER - MERCY MEDICAL CENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2270134
  • Facility Name: MERCY MEDICAL CENTER PHARMACY
  • Facility Address: 2621 S BRISTOL ST STE 100
    SANTA ANA, CA
    ZIP 92704
  • Facility Phone: 714 754-1331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAM K. HOANG
  • NPI Number: 1790854644
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2270134
LAB Type Pharmacy
Facility Name MERCY MEDICAL CENTER PHARMACY
Street 2621 S BRISTOL ST STE 100
City SANTA ANA
State CA
ZIP 92704
Phone 714 754-1331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Pharmacy
Lab Director TRAM K. HOANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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