05D1096452 CLIA NUMBER - DUNECREST MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D1096452
  • Facility Name: DUNECREST MEDICAL GROUP, INC
  • Facility Address: 215 RESERVATION ROAD SUITE D
    MARINA, CA
    ZIP 93933
  • Facility Phone: 831 384-0662
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEBORAH BROWN, MD
  • NPI Number: 1710131370
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1096452
LAB Type Physician Office
Facility Name DUNECREST MEDICAL GROUP, INC
Street 215 RESERVATION ROAD SUITE D
City MARINA
State CA
ZIP 93933
Phone 831 384-0662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director DEBORAH BROWN, MD

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