05D2284638 CLIA NUMBER - COUNTY OF ORANGE HEALTH CARE AGENCY SUD SERVICES

Laboratory Demographics

  • CLIA Code: 05D2284638
  • Facility Name: COUNTY OF ORANGE HEALTH CARE AGENCY SUD SERVICES
  • Facility Address: 2801 BRISTOL STREET STE 200
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 834-5740
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHARLES HUFFMAN
  • NPI Number: 1730226499
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2284638
LAB Type Community Clinic
Facility Name COUNTY OF ORANGE HEALTH CARE AGENCY SUD SERVICES
Street 2801 BRISTOL STREET STE 200
City COSTA MESA
State CA
ZIP 92626
Phone 714 834-5740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Community Clinic
Lab Director CHARLES HUFFMAN

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