05D0565673 CLIA NUMBER - ANDRE SANSCHAGRIN MD

Laboratory Demographics

  • CLIA Code: 05D0565673
  • Facility Name: ANDRE SANSCHAGRIN MD
  • Facility Address: 501 N EL CAMINO REAL #100
    ENCINITAS, CA
    ZIP 92024
  • Facility Phone: 760 436-0078
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDRE R. SANSCHAGRIN
  • NPI Number: 1801872221
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0565673
LAB Type Physician Office
Facility Name ANDRE SANSCHAGRIN MD
Street 501 N EL CAMINO REAL #100
City ENCINITAS
State CA
ZIP 92024
Phone 760 436-0078
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ANDRE R. SANSCHAGRIN

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