05D2061184 CLIA NUMBER - PURE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2061184
  • Facility Name: PURE DERMATOLOGY
  • Facility Address: 500 SUPERIOR AVE, #335
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 706-1469
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: NEDA MEHR
  • NPI Number: 1912246570
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2061184
LAB Type Physician Office
Facility Name PURE DERMATOLOGY
Street 500 SUPERIOR AVE, #335
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 706-1469
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/20/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director NEDA MEHR

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