05D0578554 CLIA NUMBER - JOHN G MILLER MD

Laboratory Demographics

  • CLIA Code: 05D0578554
  • Facility Name: JOHN G MILLER MD
  • Facility Address: 355 PLACENTIA AVE SUITE 103
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 714 645-6411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN G. MILLER
  • NPI Number: 1093726721
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0578554
LAB Type Physician Office
Facility Name JOHN G MILLER MD
Street 355 PLACENTIA AVE SUITE 103
City NEWPORT BEACH
State CA
ZIP 92663
Phone 714 645-6411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN G. MILLER

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