05D2268994 CLIA NUMBER - NEWPORT INSTITUTE - CERRO VISTA

Laboratory Demographics

  • CLIA Code: 05D2268994
  • Facility Name: NEWPORT INSTITUTE - CERRO VISTA
  • Facility Address: 160 S CERRO VISTA WAY
    ANAHEIM, CA
    ZIP 92807
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TONY ABRAHAM
  • NPI Number: 1346819257
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2268994
LAB Type Practitioner Other
Facility Name NEWPORT INSTITUTE - CERRO VISTA
Street 160 S CERRO VISTA WAY
City ANAHEIM
State CA
ZIP 92807
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 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Practitioner Other
Lab Director TONY ABRAHAM

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