05D2278167 CLIA NUMBER - SUSAN SAMUELI INTEGRATIVE HEALTH INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2278167
  • Facility Name: SUSAN SAMUELI INTEGRATIVE HEALTH INSTITUTE
  • Facility Address: 856 MEDICAL SCIENCE QUAD STE 2600
    IRVINE, CA
    ZIP 92697
  • Facility Phone: 714 424-9001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM HECHT
  • NPI Number: 1114317872
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2278167
LAB Type Physician Office
Facility Name SUSAN SAMUELI INTEGRATIVE HEALTH INSTITUTE
Street 856 MEDICAL SCIENCE QUAD STE 2600
City IRVINE
State CA
ZIP 92697
Phone 714 424-9001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director KIM HECHT

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