05D2306501 CLIA NUMBER - DISTINCTION SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2306501
  • Facility Name: DISTINCTION SURGERY CENTER
  • Facility Address: 4501 BIRCH ST STE A
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 888-9700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN M. COMPOGINIS
  • NPI Number: 1376244400
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2306501
LAB Type Ambulatory Surgery Center
Facility Name DISTINCTION SURGERY CENTER
Street 4501 BIRCH ST STE A
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 888-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN M. COMPOGINIS

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