05D2087774 CLIA NUMBER - NEWPORT MESA OPTOMETRY

Laboratory Demographics

  • CLIA Code: 05D2087774
  • Facility Name: NEWPORT MESA OPTOMETRY
  • Facility Address: 427 E 17TH ST STE C
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 949 642-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY SAFARIK
  • NPI Number: 1790154698
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2087774
LAB Type Physician Office
Facility Name NEWPORT MESA OPTOMETRY
Street 427 E 17TH ST STE C
City COSTA MESA
State CA
ZIP 92627
Phone 949 642-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director JEFFREY SAFARIK

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