05D2282665 CLIA NUMBER - NEWPORT ACADEMY WESTLAKE VILLAGE

Laboratory Demographics

  • CLIA Code: 05D2282665
  • Facility Name: NEWPORT ACADEMY WESTLAKE VILLAGE
  • Facility Address: 31111 AGOURA RD STE 100
    WESTLAKE VILLAGE, CA
    ZIP 91361
  • Facility Phone: 714 393-3523
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JACK KUO
  • NPI Number: 1932850799
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2282665
LAB Type Comp. Outpatient Rehab Facility
Facility Name NEWPORT ACADEMY WESTLAKE VILLAGE
Street 31111 AGOURA RD STE 100
City WESTLAKE VILLAGE
State CA
ZIP 91361
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 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JACK KUO

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