05D1092368 CLIA NUMBER - SAN MARCOS DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D1092368
  • Facility Name: SAN MARCOS DIALYSIS CENTER
  • Facility Address: 2135 MONTIEL RD BLDG B
    SAN MARCOS, CA
    ZIP 92069
  • Facility Phone: 760 975-0170
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OSMAN KHAWAR
  • NPI Number: 1255506036
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1092368
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SAN MARCOS DIALYSIS CENTER
Street 2135 MONTIEL RD BLDG B
City SAN MARCOS
State CA
ZIP 92069
Phone 760 975-0170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director OSMAN KHAWAR

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