05D2047409 CLIA NUMBER - RICK D KENNEY DO

Laboratory Demographics

  • CLIA Code: 05D2047409
  • Facility Name: RICK D KENNEY DO
  • Facility Address: 355 PLACENTIA AVE STE 101
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 612-7358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICK D. KENNEY
  • NPI Number: 1487699641
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2047409
LAB Type Physician Office
Facility Name RICK D KENNEY DO
Street 355 PLACENTIA AVE STE 101
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 612-7358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director RICK D. KENNEY

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