05D2275959 CLIA NUMBER - NEWPORT ACADEMY - SANTA MONICA

Laboratory Demographics

  • CLIA Code: 05D2275959
  • Facility Name: NEWPORT ACADEMY - SANTA MONICA
  • Facility Address: 2001 WILSHIRE BLVD SUITE 525
    SANTA MONICA, CA
    ZIP 90403
  • Facility Phone: 714 393-3523
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: AAMIR KHAN
  • NPI Number: 1073109047
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2275959
LAB Type Comp. Outpatient Rehab Facility
Facility Name NEWPORT ACADEMY - SANTA MONICA
Street 2001 WILSHIRE BLVD SUITE 525
City SANTA MONICA
State CA
ZIP 90403
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 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director AAMIR KHAN

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