05D2298280 CLIA NUMBER - PES EBS INC

Laboratory Demographics

  • CLIA Code: 05D2298280
  • Facility Name: PES EBS INC
  • Facility Address: 600 WEST SANTA ANA BLVD STE 108
    SANTA ANA, CA
    ZIP 92701
  • Facility Phone: 530 888-1010
  • Facility Type: Other - OUTPATIENT COUNCEL
  • Facility Type: Waiver
  • Lab Director: LAWRENCE V. TUCKER
  • NPI Number: 1851763882
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2298280
LAB Type Other - OUTPATIENT COUNCEL
Facility Name PES EBS INC
Street 600 WEST SANTA ANA BLVD STE 108
City SANTA ANA
State CA
ZIP 92701
Phone 530 888-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Other - OUTPATIENT COUNCEL
Lab Director LAWRENCE V. TUCKER

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