05D0578436 CLIA NUMBER - MARQUE MEDICAL CLINIC, INC DBA MARQUE

Laboratory Demographics

CLIA Number: 05D0578436

Facility Name: MARQUE MEDICAL CLINIC, INC DBA MARQUE

Facility Address:
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA
ZIP 92660
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Facility Phone Number: (949) 760-9222

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1538466107

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D0578436
LAB Type OTHER
Facility Name MARQUE MEDICAL CLINIC, INC DBA MARQUE
Street 2075 SAN JOAQUIN HILLS RD
City NEWPORT BEACH
State CA
ZIP 92660
Phone (949) 760-9222

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