05D2070461 CLIA NUMBER - PERSONALCARE PHYSICIANS OF NEWPORT BEACH

Laboratory Demographics

  • CLIA Code: 05D2070461
  • Facility Name: PERSONALCARE PHYSICIANS OF NEWPORT BEACH
  • Facility Address: 2121 E COAST HIGHWAY, STE 250
    CORONA DEL MAR, CA
    ZIP 92625
  • Facility Phone: 949 706-3300
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY I. BARKE
  • NPI Number: 1902844103
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2070461
LAB Type Independent
Facility Name PERSONALCARE PHYSICIANS OF NEWPORT BEACH
Street 2121 E COAST HIGHWAY, STE 250
City CORONA DEL MAR
State CA
ZIP 92625
Phone 949 706-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Independent
Lab Director DR. JEFFREY I. BARKE

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