05D0973125 CLIA NUMBER - CHILDRENS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0973125
  • Facility Name: CHILDRENS MEDICAL GROUP
  • Facility Address: 1582 W SAN MARCOS BLVD STE 203
    SAN MARCOS, CA
    ZIP 92069
  • Facility Phone: 760 744-6710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GINA ROSENFELD MD
  • NPI Number: 1578569497
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0973125
LAB Type Physician Office
Facility Name CHILDRENS MEDICAL GROUP
Street 1582 W SAN MARCOS BLVD STE 203
City SAN MARCOS
State CA
ZIP 92069
Phone 760 744-6710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director GINA ROSENFELD MD

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