05D1047078 CLIA NUMBER - SILVER STRAND FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 05D1047078
  • Facility Name: SILVER STRAND FAMILY MEDICINE
  • Facility Address: 707 PALM AVE
    IMPERIAL BEACH, CA
    ZIP 91932
  • Facility Phone: 619 429-7700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VERNON G. PHILLIPS, MD
  • NPI Number: 1497985352
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D1047078
LAB Type Physician Office
Facility Name SILVER STRAND FAMILY MEDICINE
Street 707 PALM AVE
City IMPERIAL BEACH
State CA
ZIP 91932
Phone 619 429-7700
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 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director VERNON G. PHILLIPS, MD

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