05D0710825 CLIA NUMBER - COASTAL SURGEONS

Laboratory Demographics

  • CLIA Code: 05D0710825
  • Facility Name: COASTAL SURGEONS
  • Facility Address: 3601 VISTA WAY STE 203
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 760 724-5352
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN KRONENER MD
  • NPI Number: 1083746358
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0710825
LAB Type Physician Office
Facility Name COASTAL SURGEONS
Street 3601 VISTA WAY STE 203
City OCEANSIDE
State CA
ZIP 92056
Phone 760 724-5352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN KRONENER MD

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