05D2058794 CLIA NUMBER - HOAG MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2058794

Facility Name: HOAG MEDICAL GROUP

Facility Address:
360 SAN MIGUEL DR, STE 105
NEWPORT BEACH, CA
ZIP 92660
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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	05D2058794
LAB Type	PHYSICIAN OFFICE
Facility Name	HOAG MEDICAL GROUP
Street	360 SAN MIGUEL DR, STE 105
City	NEWPORT BEACH
State	CA
ZIP	92660
Phone	(949) 791-3065

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