05D2284802 CLIA NUMBER - ORANGE COAST WOMEN'S MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2284802
  • Facility Name: ORANGE COAST WOMEN'S MEDICAL GROUP
  • Facility Address: 26800 CROWN VALLEY PKWY STE 460
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 949 763-7316
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN A. MENDELSOHN
  • NPI Number: 1003999285
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 05D2284802
LAB Type Physician Office
Facility Name ORANGE COAST WOMEN'S MEDICAL GROUP
Street 26800 CROWN VALLEY PKWY STE 460
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 763-7316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director SUSAN A. MENDELSOHN

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