05D0566425 CLIA NUMBER - LINDA S FALCONIO MD

Laboratory Demographics

  • CLIA Code: 05D0566425
  • Facility Name: LINDA S FALCONIO MD
  • Facility Address: 161 THUNDER DR #102
    VISTA, CA
    ZIP 92083
  • Facility Phone: 760 631-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDA S. FALCONIO
  • NPI Number: 1710030747
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0566425
LAB Type Physician Office
Facility Name LINDA S FALCONIO MD
Street 161 THUNDER DR #102
City VISTA
State CA
ZIP 92083
Phone 760 631-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director LINDA S. FALCONIO

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