05D1074179 CLIA NUMBER - DOUGLAS F CARRASCO MD INC

Laboratory Demographics

  • CLIA Code: 05D1074179
  • Facility Name: DOUGLAS F CARRASCO MD INC
  • Facility Address: 44274 GEORGE CUSHMAN CT SUITE 210
    TEMECULA, CA
    ZIP 92592
  • Facility Phone: 951 302-4603
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS CARRASCO MD
  • NPI Number: 1861406340
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1074179
LAB Type Physician Office
Facility Name DOUGLAS F CARRASCO MD INC
Street 44274 GEORGE CUSHMAN CT SUITE 210
City TEMECULA
State CA
ZIP 92592
Phone 951 302-4603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director DOUGLAS CARRASCO MD

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