05D0572290 CLIA NUMBER - ROBERT L STEPHENSON MD

Laboratory Demographics

  • CLIA Code: 05D0572290
  • Facility Name: ROBERT L STEPHENSON MD
  • Facility Address: 320 SANTA FE DRIVE SUITE 303
    ENCINITAS, CA
    ZIP 92024
  • Facility Phone: 760 943-6730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. STEPHENSON
  • NPI Number: 1386642478
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0572290
LAB Type Physician Office
Facility Name ROBERT L STEPHENSON MD
Street 320 SANTA FE DRIVE SUITE 303
City ENCINITAS
State CA
ZIP 92024
Phone 760 943-6730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director ROBERT L. STEPHENSON

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