05D0968074 CLIA NUMBER - VISTA COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 05D0968074
  • Facility Name: VISTA COMMUNITY CLINIC
  • Facility Address: 517 N HORNE ST
    OCEANSIDE, CA
    ZIP 92054
  • Facility Phone: 760 631-5000
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SARAH FATLAND DO
  • NPI Number: 1013391036
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0968074
LAB Type Community Clinic
Facility Name VISTA COMMUNITY CLINIC
Street 517 N HORNE ST
City OCEANSIDE
State CA
ZIP 92054
Phone 760 631-5000
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 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Community Clinic
Lab Director SARAH FATLAND DO

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