05D2091441 CLIA NUMBER - NEWPORT IRVINE DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D2091441
  • Facility Name: NEWPORT IRVINE DIALYSIS
  • Facility Address: 4300 VON KARMAN AVE
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 863-1382
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AZITA MESBAH
  • NPI Number: 1679995948
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2091441
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NEWPORT IRVINE DIALYSIS
Street 4300 VON KARMAN AVE
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 863-1382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AZITA MESBAH

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