05D2264807 CLIA NUMBER - NEWPORT ACADEMY - LEWIS

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CLIA Record

Field Name Field Value
CLIA Number 05D2264807
LAB Type Practitioner Other
Facility Name NEWPORT ACADEMY - LEWIS
Street 7251 E LEWIS AVE
City ORANGE
State CA
ZIP 92869
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 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Practitioner Other
Lab Director CLARICE CHAN

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