05D0950023 CLIA NUMBER - KATHY CLEWELL MD

Laboratory Demographics

  • CLIA Code: 05D0950023
  • Facility Name: KATHY CLEWELL MD
  • Facility Address: 15525 POMERADO RD STE A4
    POWAY, CA
    ZIP 92064
  • Facility Phone: 858 592-7040
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KATHY M. CLEWELL
  • NPI Number: 1326100835
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0950023
LAB Type Community Clinic
Facility Name KATHY CLEWELL MD
Street 15525 POMERADO RD STE A4
City POWAY
State CA
ZIP 92064
Phone 858 592-7040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Community Clinic
Lab Director KATHY M. CLEWELL

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