05D2304168 CLIA NUMBER - ALYSE M BARON M.D. INC.

Laboratory Demographics

  • CLIA Code: 05D2304168
  • Facility Name: ALYSE M BARON M.D. INC.
  • Facility Address: 1190 BAKER ST, STE 103
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 668-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALYSE M. BARON
  • NPI Number: 1407926157
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2304168
LAB Type Physician Office
Facility Name ALYSE M BARON M.D. INC.
Street 1190 BAKER ST, STE 103
City COSTA MESA
State CA
ZIP 92626
Phone 714 668-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director ALYSE M. BARON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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