05D2296731 CLIA NUMBER - COAST OB GYN

Laboratory Demographics

  • CLIA Code: 05D2296731
  • Facility Name: COAST OB GYN
  • Facility Address: 366 SAN MUIGUEL STE 209
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 520-7078
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HIND AL-AZAWI
  • NPI Number: 1043922529
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2296731
LAB Type Physician Office
Facility Name COAST OB GYN
Street 366 SAN MUIGUEL STE 209
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 520-7078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director HIND AL-AZAWI

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