05D2294590 CLIA NUMBER - BAYSIDE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2294590
  • Facility Name: BAYSIDE SURGERY CENTER
  • Facility Address: 20321 IRVINE # F2
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 310 713-7713
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAN M. ECKERMAN
  • NPI Number: 1033803606
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2294590
LAB Type Ambulatory Surgery Center
Facility Name BAYSIDE SURGERY CENTER
Street 20321 IRVINE # F2
City NEWPORT BEACH
State CA
ZIP 92660
Phone 310 713-7713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Ambulatory Surgery Center
Lab Director JAN M. ECKERMAN

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