05D0580255 CLIA NUMBER - NEWPORT BEACH SURGICAL AND MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0580255

Facility Name: NEWPORT BEACH SURGICAL AND MEDICAL GROUP

Facility Address:
17451 BASTANCHURY RD STE 103A
YORBA LINDA, CA
ZIP 92886
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Facility Phone Number: (714) 961-0143

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

CLIA Record

Field Name	Field Value
CLIA Number	05D0580255
LAB Type	PHYSICIAN OFFICE
Facility Name	NEWPORT BEACH SURGICAL AND MEDICAL GROUP
Street	17451 BASTANCHURY RD STE 103A
City	YORBA LINDA
State	CA
ZIP	92886
Phone	(714) 961-0143

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This page was last updated on: 5/11/2023