05D2155723 CLIA NUMBER - NEWPORT COAST PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2155723
  • Facility Name: NEWPORT COAST PHARMACY
  • Facility Address: 400 NEWPORT CENTER DR. SUITE 106
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 719-3707
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN LYN
  • NPI Number: 1578646626
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2155723
LAB Type Physician Office
Facility Name NEWPORT COAST PHARMACY
Street 400 NEWPORT CENTER DR. SUITE 106
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 719-3707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director BRIAN LYN

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