05D2315048 CLIA NUMBER - OC WELLCARE MD PC

Laboratory Demographics

  • CLIA Code: 05D2315048
  • Facility Name: OC WELLCARE MD PC
  • Facility Address: 6200 E CANYON RIM RD STE 103A
    ANAHEIM, CA
    ZIP 92807
  • Facility Phone: 714 974-8130
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER CELIO
  • NPI Number: 1356172779
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2315048
LAB Type Physician Office
Facility Name OC WELLCARE MD PC
Street 6200 E CANYON RIM RD STE 103A
City ANAHEIM
State CA
ZIP 92807
Phone 714 974-8130
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director CHRISTOPHER CELIO

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