05D0578554 CLIA NUMBER - JOHN G MILLER MD

Laboratory Demographics

CLIA Number: 05D0578554

Facility Name: JOHN G MILLER MD

Facility Address:
355 PLACENTIA AVE SUITE 103
NEWPORT BEACH, CA
ZIP 92663
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Facility Phone Number: (714) 645-6411

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1215948948

Taxonomy: 208D00000X - General Practice

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

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