05D1033915 CLIA NUMBER - ESCONDIDO CA ENDOSCOPY ASC LP/,THE PARKWAY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D1033915
  • Facility Name: ESCONDIDO CA ENDOSCOPY ASC LP/,THE PARKWAY ENDOSCOPY CENTER
  • Facility Address: 488 EAST VALLEY PARKWAY SUITE 110
    ESCONDIDO, CA
    ZIP 92025
  • Facility Phone: 760 735-6290
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARAM F. ZAKKO
  • NPI Number: 1588151120
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 05D1033915
LAB Type Ambulatory Surgery Center
Facility Name ESCONDIDO CA ENDOSCOPY ASC LP/,THE PARKWAY ENDOSCOPY CENTER
Street 488 EAST VALLEY PARKWAY SUITE 110
City ESCONDIDO
State CA
ZIP 92025
Phone 760 735-6290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Ambulatory Surgery Center
Lab Director MARAM F. ZAKKO

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