05D2057781 CLIA NUMBER - HOAG MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2057781

Facility Name: HOAG MEDICAL GROUP

Facility Address:
510 SUPERIOR AVE STE. 200B
NEWPORT BEACH, CA
ZIP 92663
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Facility Phone Number: (949) 791-3065

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D2057781
LAB Type	PHYSICIAN OFFICE
Facility Name	HOAG MEDICAL GROUP
Street	510 SUPERIOR AVE STE. 200B
City	NEWPORT BEACH
State	CA
ZIP	92663
Phone	(949) 791-3065

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This page was last updated on: 5/11/2023