05D2286118 CLIA NUMBER - CAREATC GLIDEWELL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2286118
  • Facility Name: CAREATC GLIDEWELL HEALTH CENTER
  • Facility Address: 2166 MICHELSON DR
    IRVINE, CA
    ZIP 92612
  • Facility Phone: 918 779-7471
  • Facility Type: Other - HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: SHAHROKH POORMEHR
  • NPI Number: 1487341517
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2286118
LAB Type Other - HEALTH CENTER
Facility Name CAREATC GLIDEWELL HEALTH CENTER
Street 2166 MICHELSON DR
City IRVINE
State CA
ZIP 92612
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Other - HEALTH CENTER
Lab Director SHAHROKH POORMEHR

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