05D1031376 CLIA NUMBER - SCRIPPS CLINIC MEDICAL LABORATORIES AT CARMEL VALLEY

Laboratory Demographics

  • CLIA Code: 05D1031376
  • Facility Name: SCRIPPS CLINIC MEDICAL LABORATORIES AT CARMEL VALLEY
  • Facility Address: 3811 VALLEY CENTRE DR BUILDING 5
    SAN DIEGO, CA
    ZIP 92130
  • Facility Phone: 858 554-9642
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIAH BAUGHN MD
  • NPI Number: 1245216928
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1031376
LAB Type Physician Office
Facility Name SCRIPPS CLINIC MEDICAL LABORATORIES AT CARMEL VALLEY
Street 3811 VALLEY CENTRE DR BUILDING 5
City SAN DIEGO
State CA
ZIP 92130
Phone 858 554-9642
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 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director MARIAH BAUGHN MD

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