05D0986250 CLIA NUMBER - SHARP REES-STEALY CLINICS LABORATORY-OTAY RANCH

Laboratory Demographics

  • CLIA Code: 05D0986250
  • Facility Name: SHARP REES-STEALY CLINICS LABORATORY-OTAY RANCH
  • Facility Address: 1400 E PALOMAR ST
    CHULA VISTA, CA
    ZIP 91913
  • Facility Phone: 858 616-8031
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: CARTER E. WAHL
  • NPI Number: 1407096589
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D0986250
LAB Type Independent
Facility Name SHARP REES-STEALY CLINICS LABORATORY-OTAY RANCH
Street 1400 E PALOMAR ST
City CHULA VISTA
State CA
ZIP 91913
Phone 858 616-8031
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director CARTER E. WAHL

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