05D2303840 CLIA NUMBER - OSO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2303840
  • Facility Name: OSO PEDIATRICS
  • Facility Address: 24502 PADICIFC PARK DR, STE 104
    ALISO VIEJO, CA
    ZIP 92656
  • Facility Phone: 949 898-6220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNIQUE JUGANT
  • NPI Number: 1720860059
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2303840
LAB Type Physician Office
Facility Name OSO PEDIATRICS
Street 24502 PADICIFC PARK DR, STE 104
City ALISO VIEJO
State CA
ZIP 92656
Phone 949 898-6220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director ANNIQUE JUGANT

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