05D2159461 CLIA NUMBER - NEWPORT ACADEMY-HAPPY VALLEY

Laboratory Demographics

  • CLIA Code: 05D2159461
  • Facility Name: NEWPORT ACADEMY-HAPPY VALLEY
  • Facility Address: 920 HAPPY VALLEY ROAD
    PLEASANTON, CA
    ZIP 94566
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANA FUTORAN
  • NPI Number: 1225516917
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2159461
LAB Type Practitioner Other
Facility Name NEWPORT ACADEMY-HAPPY VALLEY
Street 920 HAPPY VALLEY ROAD
City PLEASANTON
State CA
ZIP 94566
Phone 714 393-3523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Practitioner Other
Lab Director DANA FUTORAN

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