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

Laboratory Demographics

CLIA Number: 05D1031376

Facility Name: SCRIPPS CLINIC MEDICAL LABORATORIES AT CARMEL VALLEY

Facility Address:
3811 VALLEY CENTRE DR BUILDING 5
SAN DIEGO, CA
ZIP 92130
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Facility Phone Number: 858 554-9642

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1245216928

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	PPMP

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