05D1006443 CLIA NUMBER - EXCEL PHYSICIANS MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1006443
  • Facility Name: EXCEL PHYSICIANS MEDICAL CORPORATION
  • Facility Address: 29809 SANTA MARGARITA PKY SUITE 300
    RANCHO SANTA MARGARITA, CA
    ZIP 92688
  • Facility Phone: 949 709-5100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER S. DESILVA MD
  • NPI Number: 1245335025
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1006443
LAB Type Physician Office
Facility Name EXCEL PHYSICIANS MEDICAL CORPORATION
Street 29809 SANTA MARGARITA PKY SUITE 300
City RANCHO SANTA MARGARITA
State CA
ZIP 92688
Phone 949 709-5100
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 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director PETER S. DESILVA MD

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