05D0577405 CLIA NUMBER - NEWPORT CHILDREN'S MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0577405

Facility Name: NEWPORT CHILDREN'S MEDICAL GROUP

Facility Address:
17822 BEACH BLVD STE 373
HUNTINGTON BEACH, CA
ZIP 92647
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Facility Phone Number: (714) 698-1648

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0577405
LAB Type PHYSICIAN OFFICE
Facility Name NEWPORT CHILDREN'S MEDICAL GROUP
Street 17822 BEACH BLVD STE 373
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone (714) 698-1648

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This page was last updated on: 1/7/2022