05D0570970 CLIA NUMBER - SHARP REES-STEALY MEDICAL GROUP-SANTEE

Laboratory Demographics

  • CLIA Code: 05D0570970
  • Facility Name: SHARP REES-STEALY MEDICAL GROUP-SANTEE
  • Facility Address: 8701 CUYAMACA ST
    SANTEE, CA
    ZIP 92071
  • Facility Phone: 858 616-8038
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH A. DOAN MD
  • NPI Number: 1336758408
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 05D0570970
LAB Type Physician Office
Facility Name SHARP REES-STEALY MEDICAL GROUP-SANTEE
Street 8701 CUYAMACA ST
City SANTEE
State CA
ZIP 92071
Phone 858 616-8038
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 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director KENNETH A. DOAN MD

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This page was last updated on: 3/20/2025