05D2288724 CLIA NUMBER - COUNTY OF ORANGE HEALTH CARE AGENCY SUD SERVICES

Laboratory Demographics

  • CLIA Code: 05D2288724
  • Facility Name: COUNTY OF ORANGE HEALTH CARE AGENCY SUD SERVICES
  • Facility Address: 5 MAREBLU
    ALISO VIEJO, CA
    ZIP 92656
  • Facility Phone: 714 834-5740
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CHARLES S. HUFFMAN
  • NPI Number: 1194862383
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2288724
LAB Type Community Clinic
Facility Name COUNTY OF ORANGE HEALTH CARE AGENCY SUD SERVICES
Street 5 MAREBLU
City ALISO VIEJO
State CA
ZIP 92656
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 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Community Clinic
Lab Director CHARLES S. HUFFMAN

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