05D2008758 CLIA NUMBER - SHARP REES STEALY CENTER FOR HEALTH MANAGEMENT

Laboratory Demographics

  • CLIA Code: 05D2008758
  • Facility Name: SHARP REES STEALY CENTER FOR HEALTH MANAGEMENT
  • Facility Address: 9610 GRANITE RIDGE DR, STE A
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 858 262-6112
  • Facility Type: Other - COMMUNITY HLTH SCREENINGS
  • Facility Type: Waiver
  • Lab Director: MARK N. JABRO
  • NPI Number: 1891158549
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 05D2008758
LAB Type Other - COMMUNITY HLTH SCREENINGS
Facility Name SHARP REES STEALY CENTER FOR HEALTH MANAGEMENT
Street 9610 GRANITE RIDGE DR, STE A
City SAN DIEGO
State CA
ZIP 92123
Phone 858 262-6112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Other - COMMUNITY HLTH SCREENINGS
Lab Director MARK N. JABRO

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