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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