05D2309670 CLIA NUMBER - ABC CHILDREN'S CLINIC INC

Laboratory Demographics

  • CLIA Code: 05D2309670
  • Facility Name: ABC CHILDREN'S CLINIC INC
  • Facility Address: 267520 TOWNE CENTERE DRIVE SUITE A
    FOOTHILL RANCH, CA
    ZIP 92610
  • Facility Phone: 949 380-1234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARJAN F. MONFARED
  • NPI Number: 1275864910
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2309670
LAB Type Physician Office
Facility Name ABC CHILDREN'S CLINIC INC
Street 267520 TOWNE CENTERE DRIVE SUITE A
City FOOTHILL RANCH
State CA
ZIP 92610
Phone 949 380-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director MARJAN F. MONFARED

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