05D2069126 CLIA NUMBER - DENNIS JORDANIDES, MD INC

Laboratory Demographics

  • CLIA Code: 05D2069126
  • Facility Name: DENNIS JORDANIDES, MD INC
  • Facility Address: 500 SUPERIOR AVENUE, SUITE 135
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 872-5830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS JORDANIDES, MD
  • NPI Number: 1285638031
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2069126
LAB Type Physician Office
Facility Name DENNIS JORDANIDES, MD INC
Street 500 SUPERIOR AVENUE, SUITE 135
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 872-5830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director DENNIS JORDANIDES, MD

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