05D2272243 CLIA NUMBER - ASCADA HEALTH

Laboratory Demographics

  • CLIA Code: 05D2272243
  • Facility Name: ASCADA HEALTH
  • Facility Address: 1440 N HARBOR BLVD STE 311
    FULLERTON, CA
    ZIP 92835
  • Facility Phone: 657 214-3679
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW W. ABINANTE
  • NPI Number: 1811564479
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2272243
LAB Type Physician Office
Facility Name ASCADA HEALTH
Street 1440 N HARBOR BLVD STE 311
City FULLERTON
State CA
ZIP 92835
Phone 657 214-3679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director MATTHEW W. ABINANTE

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