05D1088753 CLIA NUMBER - NEWPORT-MESA DIALYSIS SERVICES

Laboratory Demographics

  • CLIA Code: 05D1088753
  • Facility Name: NEWPORT-MESA DIALYSIS SERVICES
  • Facility Address: 1175 BAKER STREET SUITE B
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 641-5808
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANDEEP DANG MD
  • NPI Number: 1730337536
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1088753
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NEWPORT-MESA DIALYSIS SERVICES
Street 1175 BAKER STREET SUITE B
City COSTA MESA
State CA
ZIP 92626
Phone 714 641-5808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANDEEP DANG MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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