05D2289327 CLIA NUMBER - NEWPORT INSTITUTE - PATAGONIA

Laboratory Demographics

  • CLIA Code: 05D2289327
  • Facility Name: NEWPORT INSTITUTE - PATAGONIA
  • Facility Address: 9650 PATAGONIA COURT
    TEMECULA, CA
    ZIP 92591
  • Facility Phone: 714 393-3523
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHANDANDEEP CHAHAL
  • NPI Number: 1891464582
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2289327
LAB Type Practitioner Other
Facility Name NEWPORT INSTITUTE - PATAGONIA
Street 9650 PATAGONIA COURT
City TEMECULA
State CA
ZIP 92591
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 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Practitioner Other
Lab Director CHANDANDEEP CHAHAL

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