05D1096660 CLIA NUMBER - NEWPORT CENTER FOR SPECIAL SURGERY

Laboratory Demographics

  • CLIA Code: 05D1096660
  • Facility Name: NEWPORT CENTER FOR SPECIAL SURGERY
  • Facility Address: 1401 AVOCADO AVE SUITE 101
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 644-8182
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HERBERT R. SCOTT, MD
  • NPI Number: 1295808475
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1096660
LAB Type Ambulatory Surgery Center
Facility Name NEWPORT CENTER FOR SPECIAL SURGERY
Street 1401 AVOCADO AVE SUITE 101
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 644-8182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Ambulatory Surgery Center
Lab Director HERBERT R. SCOTT, MD

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