05D2313060 CLIA NUMBER - ADOBE PH CA MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 05D2313060
  • Facility Name: ADOBE PH CA MEDICAL GROUP PC
  • Facility Address: 135 S STATE COLLEGE BLVD STE 228
    BREA, CA
    ZIP 92821
  • Facility Phone: 480 399-1780
  • Facility Type: Other - SENIOR CENTERS HEALTH FAI
  • Facility Type: Waiver
  • Lab Director: JENNIFER FRANGOS
  • NPI Number: 1427889195
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2313060
LAB Type Other - SENIOR CENTERS HEALTH FAI
Facility Name ADOBE PH CA MEDICAL GROUP PC
Street 135 S STATE COLLEGE BLVD STE 228
City BREA
State CA
ZIP 92821
Phone 480 399-1780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Other - SENIOR CENTERS HEALTH FAI
Lab Director JENNIFER FRANGOS

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