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05D1100585 CLIA NUMBER - DAVID WIRTA, MD INC

Laboratory Demographics

CLIA Number: 05D1100585

Facility Name: DAVID WIRTA, MD INC

Facility Address:
520 SUPERIOR AVE 235
NEWPORT BEACH, CA
ZIP 92663
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Facility Phone Number: 949 650-1863

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1255435822

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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
CertificateType 4
CertificateEffectiveDate 6/9/2023
CertificateExpirationDate 6/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024