05D1021513 CLIA NUMBER - NEWPORT COAST DERMATOLOGY C/O GRACE LIU MD

Laboratory Demographics

  • CLIA Code: 05D1021513
  • Facility Name: NEWPORT COAST DERMATOLOGY C/O GRACE LIU MD
  • Facility Address: 3991 MACARTHUR BLVD STE 228
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 863-0988
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GRACE S. LIU MD
  • NPI Number: 1568730885
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D1021513
LAB Type Physician Office
Facility Name NEWPORT COAST DERMATOLOGY C/O GRACE LIU MD
Street 3991 MACARTHUR BLVD STE 228
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 863-0988
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/17/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director GRACE S. LIU MD

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