05D2325123 CLIA NUMBER - HOAG OUTPATIENT CENTER, LLC

Laboratory Demographics

  • CLIA Code: 05D2325123
  • Facility Name: HOAG OUTPATIENT CENTER, LLC
  • Facility Address: 500 SUPERIOR AVENUE SUITE 130
    NEWPORT BEACH, CA
    ZIP 92663
  • Facility Phone: 949 520-7804
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DONALD D. ABRAHM
  • NPI Number: 1043023658
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2325123
LAB Type Ambulatory Surgery Center
Facility Name HOAG OUTPATIENT CENTER, LLC
Street 500 SUPERIOR AVENUE SUITE 130
City NEWPORT BEACH
State CA
ZIP 92663
Phone 949 520-7804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Ambulatory Surgery Center
Lab Director DONALD D. ABRAHM

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