05D2035086 CLIA NUMBER - HOAG ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D2035086
  • Facility Name: HOAG ENDOSCOPY CENTER
  • Facility Address: 500 SUPERIOR AVE STE 120
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 698-1339
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONALD ABRAHM
  • NPI Number: 1053557918
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2035086
LAB Type Ambulatory Surgery Center
Facility Name HOAG ENDOSCOPY CENTER
Street 500 SUPERIOR AVE STE 120
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 698-1339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Ambulatory Surgery Center
Lab Director DONALD ABRAHM

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