05D2101292 CLIA NUMBER - AKUA MIND & BODY INC

Laboratory Demographics

  • CLIA Code: 05D2101292
  • Facility Name: AKUA MIND & BODY INC
  • Facility Address: 20271 SW BIRCH ST STE 202
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 981-0813
  • Facility Type: Other - SA TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: VENICE A. SANCHEZ
  • NPI Number: 1932598364
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2101292
LAB Type Other - SA TREATMENT CENTER
Facility Name AKUA MIND & BODY INC
Street 20271 SW BIRCH ST STE 202
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 981-0813
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Other - SA TREATMENT CENTER
Lab Director VENICE A. SANCHEZ

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