05D2289531 CLIA NUMBER - VIRTUAL TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 05D2289531
  • Facility Name: VIRTUAL TREATMENT CENTER
  • Facility Address: 14742 NEWPORT AVE SUITE 205
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 949 885-6884
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CLIFFORD R. FELDMAN
  • NPI Number: 1114153582
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2289531
LAB Type Practitioner Other
Facility Name VIRTUAL TREATMENT CENTER
Street 14742 NEWPORT AVE SUITE 205
City TUSTIN
State CA
ZIP 92780
Phone 949 885-6884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Practitioner Other
Lab Director CLIFFORD R. FELDMAN

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