05D2284462 CLIA NUMBER - MIRAMAR HEALTH , LLC

Laboratory Demographics

  • CLIA Code: 05D2284462
  • Facility Name: MIRAMAR HEALTH , LLC
  • Facility Address: 1733 RAYMAR ST
    SANTA ANA, CA
    ZIP 92703
  • Facility Phone: 909 806-9653
  • Facility Type: Other - SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. DE SANTO
  • NPI Number: 1407553399
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2284462
LAB Type Other - SUD TREATMENT
Facility Name MIRAMAR HEALTH , LLC
Street 1733 RAYMAR ST
City SANTA ANA
State CA
ZIP 92703
Phone 909 806-9653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Other - SUD TREATMENT
Lab Director JOSEPH A. DE SANTO

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