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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
UC Irvine HLA Tissue Typing Lab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD S NEWMAN MD (MEDICAL DIRECTOR)
(714) 456-6936
Entity
Organization

Contact information

Practice address
101 THE CITY DR S BLDG 23, ORANGE, CA 92868-3201
(714) 456-5889
(714) 456-3964
Mailing address
D440 MED SCI 1 ZOT 4800, UNIVERSITY OF CALIFORNIA, IRVINE, CA 92697-0001
(949) 824-7071
(949) 824-2160

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 11748
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D1002946
CLIA
CA
Enumeration date
05/27/2009
Last updated
05/27/2009
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