05D1100585 CLIA NUMBER - DAVID WIRTA, MD INC

Laboratory Demographics

  • CLIA Code: 05D1100585
  • Facility Name: DAVID WIRTA, MD INC
  • Facility Address: 520 SUPERIOR AVE 235
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 650-1863
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID L. WIRTA, MD
  • NPI Number: 1255435822
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D1100585
LAB Type Physician Office
Facility Name DAVID WIRTA, MD INC
Street 520 SUPERIOR AVE 235
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 650-1863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director DAVID L. WIRTA, MD

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