05D1033831 CLIA NUMBER - ROBERT J BAE, MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1033831
  • Facility Name: ROBERT J BAE, MD A MEDICAL CORPORATION
  • Facility Address: 1401 AVOCADO AVE #602
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 644-8722
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT J. BAE MD
  • NPI Number: 1467433326
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D1033831
LAB Type Physician Office
Facility Name ROBERT J BAE, MD A MEDICAL CORPORATION
Street 1401 AVOCADO AVE #602
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 644-8722
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 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director ROBERT J. BAE MD

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