05D1089888 CLIA NUMBER - GIGI L KROLL MD

Laboratory Demographics

  • CLIA Code: 05D1089888
  • Facility Name: GIGI L KROLL MD
  • Facility Address: 180 NEWPORT CENTER DRIVE # 265
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 706-0181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GIGI L. KROLL MD
  • NPI Number: 1255608907
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1089888
LAB Type Physician Office
Facility Name GIGI L KROLL MD
Street 180 NEWPORT CENTER DRIVE # 265
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 706-0181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director GIGI L. KROLL MD

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