05D0694044 CLIA NUMBER - HARBOR PEDIATRIC MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0694044
  • Facility Name: HARBOR PEDIATRIC MEDICAL GROUP
  • Facility Address: 1640 NEWPORT BLVD STE 340
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: (714) 645-4670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE CHEN

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CLIA Record

Field Name Field Value
CLIA Number 05D0694044
LAB Type Physician Office
Facility Name HARBOR PEDIATRIC MEDICAL GROUP
Street 1640 NEWPORT BLVD STE 340
City COSTA MESA
State CA
ZIP 92627
Phone 7146454670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director EUGENE CHEN

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This page was last updated on: 5/18/2026