05D2218022 CLIA NUMBER - NEWPORT ACADEMY - HIGHCLIFF

Laboratory Demographics

  • CLIA Code: 05D2218022
  • Facility Name: NEWPORT ACADEMY - HIGHCLIFF
  • Facility Address: 9951 HIGHCLIFF DR
    NORTH TUSTIN, CA
    ZIP 92705
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SARAH AZAM JILLANI
  • NPI Number: 1255961199
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2218022
LAB Type Practitioner Other
Facility Name NEWPORT ACADEMY - HIGHCLIFF
Street 9951 HIGHCLIFF DR
City NORTH TUSTIN
State CA
ZIP 92705
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 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Practitioner Other
Lab Director SARAH AZAM JILLANI

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