05D2292007 CLIA NUMBER - BEACH DENTAL GROUP AND ORTHODONTICS

Laboratory Demographics

  • CLIA Code: 05D2292007
  • Facility Name: BEACH DENTAL GROUP AND ORTHODONTICS
  • Facility Address: 19720 BEACH BLVD., SUITE A
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 714 593-1010
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALEX SHARIFIAN
  • NPI Number: 1295946119
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2292007
LAB Type Practitioner Other
Facility Name BEACH DENTAL GROUP AND ORTHODONTICS
Street 19720 BEACH BLVD., SUITE A
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 714 593-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Practitioner Other
Lab Director ALEX SHARIFIAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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