05D2289675 CLIA NUMBER - OC URGENT CARE MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2289675
  • Facility Name: OC URGENT CARE MEDICAL GROUP INC
  • Facility Address: 17672 BEACH BLVD STE A
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 657 465-4733
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: NAHLA SALEM
  • NPI Number: 1427591007
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2289675
LAB Type Other - URGENT CARE
Facility Name OC URGENT CARE MEDICAL GROUP INC
Street 17672 BEACH BLVD STE A
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 657 465-4733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Other - URGENT CARE
Lab Director NAHLA SALEM

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