05D2325414 CLIA NUMBER - PORTOLA MEDICAL SERVICES PC

Laboratory Demographics

  • CLIA Code: 05D2325414
  • Facility Name: PORTOLA MEDICAL SERVICES PC
  • Facility Address: 20635 YORBA LINDA BLVD
    YORBA LINDA, CA
    ZIP 92886
  • Facility Phone: 844 254-6382
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. ZELLER
  • NPI Number: 1871962076
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2325414
LAB Type Other - URGENT CARE
Facility Name PORTOLA MEDICAL SERVICES PC
Street 20635 YORBA LINDA BLVD
City YORBA LINDA
State CA
ZIP 92886
Phone 844 254-6382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Other - URGENT CARE
Lab Director MATTHEW A. ZELLER

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