05D2283420 CLIA NUMBER - SANTA ANA JAIL

Laboratory Demographics

  • CLIA Code: 05D2283420
  • Facility Name: SANTA ANA JAIL
  • Facility Address: 60 CIVIC CENTER PLAZA
    SANTA ANA, CA
    ZIP 92701
  • Facility Phone: 714 245-8100
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: RICHARD MEDRANO
  • NPI Number: 1316044217
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2283420
LAB Type Other - JAIL
Facility Name SANTA ANA JAIL
Street 60 CIVIC CENTER PLAZA
City SANTA ANA
State CA
ZIP 92701
Phone 714 245-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Other - JAIL
Lab Director RICHARD MEDRANO

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