05D0687205 CLIA NUMBER - MARGARET SHANNON MD, INC

Laboratory Demographics

  • CLIA Code: 05D0687205
  • Facility Name: MARGARET SHANNON MD, INC
  • Facility Address: 400 NEWPORT CENTER DR, #501
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 646-2311
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARGARET SHANNON
  • NPI Number: 1265449441
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0687205
LAB Type Physician Office
Facility Name MARGARET SHANNON MD, INC
Street 400 NEWPORT CENTER DR, #501
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 646-2311
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director MARGARET SHANNON

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