05D1075858 CLIA NUMBER - CARLSBAD SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D1075858
  • Facility Name: CARLSBAD SURGERY CENTER LLC
  • Facility Address: 6121 PASEO DEL NORTE SUITE 100
    CARLSBAD, CA
    ZIP 92008
  • Facility Phone: 760 448-2488
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK RANSOM
  • NPI Number: 1003017351
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1075858
LAB Type Ambulatory Surgery Center
Facility Name CARLSBAD SURGERY CENTER LLC
Street 6121 PASEO DEL NORTE SUITE 100
City CARLSBAD
State CA
ZIP 92008
Phone 760 448-2488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Ambulatory Surgery Center
Lab Director MARK RANSOM

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