05D2181660 CLIA NUMBER - NEWPORT ACADEMY - KILKARE

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CLIA Record

Field Name Field Value
CLIA Number 05D2181660
LAB Type Practitioner Other
Facility Name NEWPORT ACADEMY - KILKARE
Street 227 KILKARE ROAD
City SUNOL
State CA
ZIP 94586
Phone 714 939-3523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Practitioner Other
Lab Director DANA FUTORAM

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