05D2026416 CLIA NUMBER - SCRIPPS COASTAL MEDICAL CENTER ENCINITAS OBGYN 332 SANTA FE

Laboratory Demographics

  • CLIA Code: 05D2026416
  • Facility Name: SCRIPPS COASTAL MEDICAL CENTER ENCINITAS OBGYN 332 SANTA FE
  • Facility Address: 332 SANTA FE DRIVE, STE. 115
    ENCINITAS, CA
    ZIP 92024
  • Facility Phone: 858 554-9642
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEANNA M. YOUNG
  • NPI Number: 1881913440
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2026416
LAB Type Physician Office
Facility Name SCRIPPS COASTAL MEDICAL CENTER ENCINITAS OBGYN 332 SANTA FE
Street 332 SANTA FE DRIVE, STE. 115
City ENCINITAS
State CA
ZIP 92024
Phone 858 554-9642
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director DEANNA M. YOUNG

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