05D2282095 CLIA NUMBER - NEWPORT INSTITUTE - SANTA ROSA

Laboratory Demographics

  • CLIA Code: 05D2282095
  • Facility Name: NEWPORT INSTITUTE - SANTA ROSA
  • Facility Address: 28560 VIA SANTA ROSA
    TEMECULA, CA
    ZIP 92590
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KARLA V. MOLINERO
  • NPI Number: 1154073138
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2282095
LAB Type Practitioner Other
Facility Name NEWPORT INSTITUTE - SANTA ROSA
Street 28560 VIA SANTA ROSA
City TEMECULA
State CA
ZIP 92590
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 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Practitioner Other
Lab Director KARLA V. MOLINERO

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