05D0907519 CLIA NUMBER - SHARP REES STEALY MEDICAL GROUP- CARMEL DEL MAR

Laboratory Demographics

  • CLIA Code: 05D0907519
  • Facility Name: SHARP REES STEALY MEDICAL GROUP- CARMEL DEL MAR
  • Facility Address: 12710 CARMEL COUNTRY ROAD
    SAN DIEGO, CA
    ZIP 92130
  • Facility Phone: 858 616-8038
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER BARKLEY
  • NPI Number: 1831409705
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 05D0907519
LAB Type Physician Office
Facility Name SHARP REES STEALY MEDICAL GROUP- CARMEL DEL MAR
Street 12710 CARMEL COUNTRY ROAD
City SAN DIEGO
State CA
ZIP 92130
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 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director JENNIFER BARKLEY

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