05D0883181 CLIA NUMBER - GROSSMONT COLLEGE HEALTH SERVICE

Laboratory Demographics

CLIA Code: 05D0883181
Facility Name: GROSSMONT COLLEGE HEALTH SERVICE
Facility Address: 8800 GROSSMONT COLLEGE DRIVE
EL CAJON, CA
ZIP 92020
Facility Phone: 619 465-1700
Facility Type: School/Student Health Service
Facility Type: Waiver
Lab Director: CATHY K. METTS
NPI Number: 1043275373
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	05D0883181
LAB Type	School/Student Health Service
Facility Name	GROSSMONT COLLEGE HEALTH SERVICE
Street	8800 GROSSMONT COLLEGE DRIVE
City	EL CAJON
State	CA
ZIP	92020
Phone	619 465-1700
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/19/2024
Certificate Expiration Date	10/18/2026
Facility Type	School/Student Health Service
Lab Director	CATHY K. METTS

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