05D0703820 CLIA NUMBER - NEWPORT-HUNTINGTON MEDICAL GROUP LABORATORY

Laboratory Demographics

CLIA Number: 05D0703820

Facility Name: NEWPORT-HUNTINGTON MEDICAL GROUP LABORATORY

Facility Address:
19582 BEACH BLVD STE 320
HUNTINGTON BEACH, CA
ZIP 92648
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Facility Phone Number: 714 378-2401

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063426997

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D0703820
LAB Type	Physician Office
Facility Name	NEWPORT-HUNTINGTON MEDICAL GROUP LABORATORY
Street	19582 BEACH BLVD STE 320
City	HUNTINGTON BEACH
State	CA
ZIP	92648
Phone	714 378-2401
CertificateType	4
CertificateEffectiveDate	12/19/2023
CertificateExpirationDate	12/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024