05D2303107 CLIA NUMBER - IRVINE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2303107
  • Facility Name: IRVINE DERMATOLOGY
  • Facility Address: 6865 ALTON PKWY STE 210
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 800-8551
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARJON VATANCHI
  • NPI Number: 1760174882
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2303107
LAB Type Physician Office
Facility Name IRVINE DERMATOLOGY
Street 6865 ALTON PKWY STE 210
City IRVINE
State CA
ZIP 92618
Phone 949 800-8551
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director MARJON VATANCHI

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This page was last updated on: 3/20/2025