05D2319911 CLIA NUMBER - PALOMA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2319911
  • Facility Name: PALOMA MEDICAL GROUP
  • Facility Address: 23141 MOULTON PKWY SUITE 108
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 443-4303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YEN HUI M. SOONG
  • NPI Number: 1013621812
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 05D2319911
LAB Type Physician Office
Facility Name PALOMA MEDICAL GROUP
Street 23141 MOULTON PKWY SUITE 108
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 443-4303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director YEN HUI M. SOONG

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