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

Laboratory Demographics

CLIA Number: 05D0578436

Facility Name: MARQUE MEDICAL CLINIC, INC DBA MARQUE URGENT CARE

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: 1902431901

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0578436
LAB Type	OTHER
Facility Name	MARQUE MEDICAL CLINIC, INC DBA MARQUE URGENT CARE
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: 5/11/2023