05D2287904 CLIA NUMBER - MONROE OPERATIONS (DBA) NEWPORT ACADEMY - FLORES

Laboratory Demographics

  • CLIA Code: 05D2287904
  • Facility Name: MONROE OPERATIONS (DBA) NEWPORT ACADEMY - FLORES
  • Facility Address: 7969 AVENIDA MIL FLORES
    BONSALL, CA
    ZIP 92003
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SARAH A. JILLANI
  • NPI Number: 1548986532
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2287904
LAB Type Practitioner Other
Facility Name MONROE OPERATIONS (DBA) NEWPORT ACADEMY - FLORES
Street 7969 AVENIDA MIL FLORES
City BONSALL
State CA
ZIP 92003
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 8/18/2023
Certificate Expiration Date 8/17/2025
Facility Type Practitioner Other
Lab Director SARAH A. JILLANI

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This page was last updated on: 6/4/2025