05D2300109 CLIA NUMBER - OC LIFE, INC DBA GARDEN GROVE ADHC

Laboratory Demographics

  • CLIA Code: 05D2300109
  • Facility Name: OC LIFE, INC DBA GARDEN GROVE ADHC
  • Facility Address: 8100 GARDEN GROVE BLVD
    GARDEN GROVE, CA
    ZIP 92844
  • Facility Phone: 714 799-0306
  • Facility Type: Other - ADULT SAY HEALTHCARE CENT
  • Facility Type: Waiver
  • Lab Director: EDDIE PYUNE
  • NPI Number: 1760062855
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2300109
LAB Type Other - ADULT SAY HEALTHCARE CENT
Facility Name OC LIFE, INC DBA GARDEN GROVE ADHC
Street 8100 GARDEN GROVE BLVD
City GARDEN GROVE
State CA
ZIP 92844
Phone 714 799-0306
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Other - ADULT SAY HEALTHCARE CENT
Lab Director EDDIE PYUNE

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