05D1018198 CLIA NUMBER - CHILDREN'S HOSPITAL OF SAN DIEGO- NORTH COUNTY URGENT CARE CTR

Laboratory Demographics

CLIA Number: 05D1018198

Facility Name: CHILDREN'S HOSPITAL OF SAN DIEGO- NORTH COUNTY URGENT CARE CTR

Facility Address:
2125 CITRACADO PKWY, STE 100
ESCONDIDO, CA
ZIP 92029
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Facility Phone Number: 858 966-1700

Facility Type: Other - URGENT CARE AMBULATORY CL

Certificate Type: Waiver

NPI Number: 1831230648

Taxonomy: 282NC2000X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	05D1018198
LAB Type	Other - URGENT CARE AMBULATORY CL
Facility Name	CHILDREN'S HOSPITAL OF SAN DIEGO- NORTH COUNTY URGENT CARE CTR
Street	2125 CITRACADO PKWY, STE 100
City	ESCONDIDO
State	CA
ZIP	92029
Phone	858 966-1700
CertificateType	4
CertificateEffectiveDate	10/15/2023
CertificateExpirationDate	10/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024