05D2307749 CLIA NUMBER - PEDES ORANGE COUNTY

Laboratory Demographics

  • CLIA Code: 05D2307749
  • Facility Name: PEDES ORANGE COUNTY
  • Facility Address: 1400 REYNOLDS AVE SUITE 110
    IRVINE, CA
    ZIP 92614
  • Facility Phone: 949 387-4724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN J. HEWETT
  • NPI Number: 1184999005
  • Taxonomy: 2085R0204X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2307749
LAB Type Physician Office
Facility Name PEDES ORANGE COUNTY
Street 1400 REYNOLDS AVE SUITE 110
City IRVINE
State CA
ZIP 92614
Phone 949 387-4724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director JOHN J. HEWETT

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