05D1059052 CLIA NUMBER - ADVANTAGE HEALTH SYSTEMS

Laboratory Demographics

  • CLIA Code: 05D1059052
  • Facility Name: ADVANTAGE HEALTH SYSTEMS
  • Facility Address: 9663 TIERRA GRANDE ST, STE 101
    SAN DIEGO, CA
    ZIP 92126
  • Facility Phone: 858 433-0469
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: POOYA AFSHAR
  • NPI Number: 1538225313
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1059052
LAB Type Home Health Agency
Facility Name ADVANTAGE HEALTH SYSTEMS
Street 9663 TIERRA GRANDE ST, STE 101
City SAN DIEGO
State CA
ZIP 92126
Phone 858 433-0469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Home Health Agency
Lab Director POOYA AFSHAR

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