05D2020584 CLIA NUMBER - SCOTT E JENKINS, MD INC

Laboratory Demographics

  • CLIA Code: 05D2020584
  • Facility Name: SCOTT E JENKINS, MD INC
  • Facility Address: 1501 SUPERIOR AVE, SUITE 310
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 574-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT E. JENKINS, MD
  • NPI Number: 1528009743
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2020584
LAB Type Physician Office
Facility Name SCOTT E JENKINS, MD INC
Street 1501 SUPERIOR AVE, SUITE 310
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 574-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director SCOTT E. JENKINS, MD

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