05D2172759 CLIA NUMBER - GENESIS NEW BEGINNING

Laboratory Demographics

  • CLIA Code: 05D2172759
  • Facility Name: GENESIS NEW BEGINNING
  • Facility Address: 17822 BEACH BOULEVARD, #278
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 714 375-3795
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: COURTNEY SCOTT
  • NPI Number: 1215441852
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2172759
LAB Type Community Clinic
Facility Name GENESIS NEW BEGINNING
Street 17822 BEACH BOULEVARD, #278
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 714 375-3795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Community Clinic
Lab Director COURTNEY SCOTT

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