05D1068048 CLIA NUMBER - NORTH COUNTY CLINICAL RESEARCH INC

Laboratory Demographics

CLIA Number: 05D1068048

Facility Name: NORTH COUNTY CLINICAL RESEARCH INC

Facility Address:
2122 S EL CAMINO REAL, STE 100
OCEANSIDE, CA
ZIP 92054
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Facility Phone Number: 760 639-4378

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245770825

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1068048
LAB Type	Physician Office
Facility Name	NORTH COUNTY CLINICAL RESEARCH INC
Street	2122 S EL CAMINO REAL, STE 100
City	OCEANSIDE
State	CA
ZIP	92054
Phone	760 639-4378
CertificateType	4
CertificateEffectiveDate	5/1/2023
CertificateExpirationDate	4/30/2025
FacilityType	Waiver

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