05D0707599 CLIA NUMBER - SHARP REES-STEALY MEDICAL GROUP-FIR

Laboratory Demographics

  • CLIA Code: 05D0707599
  • Facility Name: SHARP REES-STEALY MEDICAL GROUP-FIR
  • Facility Address: 300 FIR ST ATTN TAMARA JEANTY
    SAN DIEGO, CA
    ZIP 92101
  • Facility Phone: 858 616-8038
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANNA LOUIS TECHENTIN MD
  • NPI Number: 1326481417
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0707599
LAB Type Physician Office
Facility Name SHARP REES-STEALY MEDICAL GROUP-FIR
Street 300 FIR ST ATTN TAMARA JEANTY
City SAN DIEGO
State CA
ZIP 92101
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 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director ANNA LOUIS TECHENTIN MD

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