05D2190953 CLIA NUMBER - NEWPORT INSTITUTE - BAYVIEW

Laboratory Demographics

  • CLIA Code: 05D2190953
  • Facility Name: NEWPORT INSTITUTE - BAYVIEW
  • Facility Address: 285 MARGARITA DRIVE
    SAN RAFAEL, CA
    ZIP 94901
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANA FUTORAN
  • NPI Number: 1982246815
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2190953
LAB Type Practitioner Other
Facility Name NEWPORT INSTITUTE - BAYVIEW
Street 285 MARGARITA DRIVE
City SAN RAFAEL
State CA
ZIP 94901
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 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Practitioner Other
Lab Director DANA FUTORAN

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