05D2287077 CLIA NUMBER - MIRAMAR HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 05D2287077
  • Facility Name: MIRAMAR HEALTH, LLC
  • Facility Address: 1501 S MINTER ST
    SANTA ANA, CA
    ZIP 92707
  • Facility Phone: 909 806-9653
  • Facility Type: Other - SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. DESANTO
  • NPI Number: 1124725015
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2287077
LAB Type Other - SUD TREATMENT
Facility Name MIRAMAR HEALTH, LLC
Street 1501 S MINTER ST
City SANTA ANA
State CA
ZIP 92707
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 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Other - SUD TREATMENT
Lab Director JOSEPH A. DESANTO

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