05D1015647 CLIA NUMBER - VISTA COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 05D1015647
  • Facility Name: VISTA COMMUNITY CLINIC
  • Facility Address: 4700 NORTH RIVER RD
    OCEANSIDE, CA
    ZIP 92057
  • Facility Phone: 760 631-5000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SARAH FATLAND DO
  • NPI Number: 1497203541
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1015647
LAB Type Community Clinic
Facility Name VISTA COMMUNITY CLINIC
Street 4700 NORTH RIVER RD
City OCEANSIDE
State CA
ZIP 92057
Phone 760 631-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Community Clinic
Lab Director SARAH FATLAND DO

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