05D2270001 CLIA NUMBER - NEWPORT ACADEMY - VALLEY VISTA

Laboratory Demographics

  • CLIA Code: 05D2270001
  • Facility Name: NEWPORT ACADEMY - VALLEY VISTA
  • Facility Address: 683 VALLEY VISTA DRIVE
    CAMARILLO, CA
    ZIP 93010
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TARIK HADZIC
  • NPI Number: 1295309540
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2270001
LAB Type Practitioner Other
Facility Name NEWPORT ACADEMY - VALLEY VISTA
Street 683 VALLEY VISTA DRIVE
City CAMARILLO
State CA
ZIP 93010
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 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Practitioner Other
Lab Director TARIK HADZIC

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