05D0986984 CLIA NUMBER - SCRIPPS COASTAL MEDICAL CENTER - SAN MARCOS

Laboratory Demographics

  • CLIA Code: 05D0986984
  • Facility Name: SCRIPPS COASTAL MEDICAL CENTER - SAN MARCOS
  • Facility Address: 111 CAMPUS WAY
    SAN MARCOS, CA
    ZIP 92078
  • Facility Phone: 858 554-9642
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IMRAN AHMED
  • NPI Number: 1881636108
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0986984
LAB Type Physician Office
Facility Name SCRIPPS COASTAL MEDICAL CENTER - SAN MARCOS
Street 111 CAMPUS WAY
City SAN MARCOS
State CA
ZIP 92078
Phone 858 554-9642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director IMRAN AHMED

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