05D0722980 CLIA NUMBER - NEWPORT DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 05D0722980
  • Facility Name: NEWPORT DIAGNOSTIC CENTER
  • Facility Address: 1605 AVOCADO AVENUE
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 760-3025
  • Facility Type: Other - RADIOLOGY PRACTICE
  • Facility Type: Waiver
  • Lab Director: HAZEM H. CHEHABI
  • NPI Number: 1932117249
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0722980
LAB Type Other - RADIOLOGY PRACTICE
Facility Name NEWPORT DIAGNOSTIC CENTER
Street 1605 AVOCADO AVENUE
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 760-3025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Other - RADIOLOGY PRACTICE
Lab Director HAZEM H. CHEHABI

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