05D2098715 CLIA NUMBER - LINO J DEGUZMAN, MD PC LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2098715
  • Facility Name: LINO J DEGUZMAN, MD PC LABORATORY
  • Facility Address: 1525 SUPERIOR AVE, STE 200
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 727-1232
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: AHMAD IBRAHIM
  • NPI Number: 1346324720
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2098715
LAB Type Independent
Facility Name LINO J DEGUZMAN, MD PC LABORATORY
Street 1525 SUPERIOR AVE, STE 200
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 727-1232
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 12/29/2021
Certificate Expiration Date 9/30/2025
Facility Type Independent
Lab Director AHMAD IBRAHIM

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