05D2004879 CLIA NUMBER - MELISSA HURD MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2004879
  • Facility Name: MELISSA HURD MEDICAL CORPORATION
  • Facility Address: 161 THUNDER DR STE 103
    VISTA, CA
    ZIP 92083
  • Facility Phone: 760 758-1988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA E. HURD
  • NPI Number: 1487643698
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2004879
LAB Type Physician Office
Facility Name MELISSA HURD MEDICAL CORPORATION
Street 161 THUNDER DR STE 103
City VISTA
State CA
ZIP 92083
Phone 760 758-1988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director MELISSA E. HURD

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