05D0979539 CLIA NUMBER - MATTHEW H CLARK MD INC DBA THE CLARK CENTER FOR UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 05D0979539
  • Facility Name: MATTHEW H CLARK MD INC DBA THE CLARK CENTER FOR UROGYNECOLOGY
  • Facility Address: 520 SUPERIOR AVE STE 225
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 360-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW H. CLARK MD
  • NPI Number: 1952417339
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0979539
LAB Type Physician Office
Facility Name MATTHEW H CLARK MD INC DBA THE CLARK CENTER FOR UROGYNECOLOGY
Street 520 SUPERIOR AVE STE 225
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 360-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director MATTHEW H. CLARK MD

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