05D0990839 CLIA NUMBER - HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0990839
  • Facility Name: HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
  • Facility Address: 14591 NEWPORT AVE
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 562 988-7027
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAVI BHAKTA
  • NPI Number: 1679613111
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0990839
LAB Type Physician Office
Facility Name HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Street 14591 NEWPORT AVE
City TUSTIN
State CA
ZIP 92780
Phone 562 988-7027
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director RAVI BHAKTA

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