05D2274294 CLIA NUMBER - HOAG CLINIC

Laboratory Demographics

  • CLIA Code: 05D2274294
  • Facility Name: HOAG CLINIC
  • Facility Address: 23961 CALLE DE LA MAGDALENA, STE 412
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 791-3065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN MENDELSOHN
  • NPI Number: 1487827440
  • Taxonomy: 376K00000X - Nurse's Aide

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CLIA Record

Field Name Field Value
CLIA Number 05D2274294
LAB Type Physician Office
Facility Name HOAG CLINIC
Street 23961 CALLE DE LA MAGDALENA, STE 412
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 791-3065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director SUSAN MENDELSOHN

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