05D0914815 CLIA NUMBER - NEWPORT BEACH ORANGE COAST ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D0914815
  • Facility Name: NEWPORT BEACH ORANGE COAST ENDOSCOPY CENTER
  • Facility Address: 1525 SUPERIOR AVENUE, SUITE 114
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 646-6999
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONALD R. ABRAHM
  • NPI Number: 1558328096
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0914815
LAB Type Ambulatory Surgery Center
Facility Name NEWPORT BEACH ORANGE COAST ENDOSCOPY CENTER
Street 1525 SUPERIOR AVENUE, SUITE 114
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 646-6999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Ambulatory Surgery Center
Lab Director DONALD R. ABRAHM

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