05D2323574 CLIA NUMBER - TAPROOT HEALING

Laboratory Demographics

  • CLIA Code: 05D2323574
  • Facility Name: TAPROOT HEALING
  • Facility Address: 1525 SUPERIOR AVENUE SUITE 200
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 229-3369
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ATUL GROVER
  • NPI Number: 1528745379
  • Taxonomy: 2083A0300X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2323574
LAB Type Physician Office
Facility Name TAPROOT HEALING
Street 1525 SUPERIOR AVENUE SUITE 200
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 229-3369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director ATUL GROVER

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