05D1098796 CLIA NUMBER - CPMS MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D1098796
  • Facility Name: CPMS MEDICAL GROUP INC
  • Facility Address: 16466 BERNARDO CENTER DR STE 150
    SAN DIEGO, CA
    ZIP 92128
  • Facility Phone: 858 453-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRIS J. CHISHOLM
  • NPI Number: 1780077230
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D1098796
LAB Type Physician Office
Facility Name CPMS MEDICAL GROUP INC
Street 16466 BERNARDO CENTER DR STE 150
City SAN DIEGO
State CA
ZIP 92128
Phone 858 453-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director CHRIS J. CHISHOLM

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This page was last updated on: 6/4/2025