05D2166353 CLIA NUMBER - THE NEW BEGINNING FELLOWSHIP CENTER

Laboratory Demographics

  • CLIA Code: 05D2166353
  • Facility Name: THE NEW BEGINNING FELLOWSHIP CENTER
  • Facility Address: 16581 BROOKHUST
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 839-2515
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: PRAKASH BONDADE
  • NPI Number: 1104826072
  • Taxonomy: 103TA0400X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 05D2166353
LAB Type Other - SUBSTANCE ABUSE
Facility Name THE NEW BEGINNING FELLOWSHIP CENTER
Street 16581 BROOKHUST
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 839-2515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Other - SUBSTANCE ABUSE
Lab Director PRAKASH BONDADE

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