05D0917071 CLIA NUMBER - NORTH COUNTY INTERNISTS MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D0917071
  • Facility Name: NORTH COUNTY INTERNISTS MEDICAL CORP
  • Facility Address: 15525 POMERADO RD STE A1
    POWAY, CA
    ZIP 92064
  • Facility Phone: 858 776-8369
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STUART D. KLEIN
  • NPI Number: 1851489728
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0917071
LAB Type Physician Office
Facility Name NORTH COUNTY INTERNISTS MEDICAL CORP
Street 15525 POMERADO RD STE A1
City POWAY
State CA
ZIP 92064
Phone 858 776-8369
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 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director STUART D. KLEIN

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