05D2039703 CLIA NUMBER - SHARP REES STEALY MEDICAL GROUP-SORRENTO MESA

Laboratory Demographics

  • CLIA Code: 05D2039703
  • Facility Name: SHARP REES STEALY MEDICAL GROUP-SORRENTO MESA
  • Facility Address: 10243 GENETIC CENTER DRIVE
    SAN DIEGO, CA
    ZIP 92121
  • Facility Phone: 858 616-8038
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STANLEY M. BESSER MD
  • NPI Number: 1619944196
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2039703
LAB Type Physician Office
Facility Name SHARP REES STEALY MEDICAL GROUP-SORRENTO MESA
Street 10243 GENETIC CENTER DRIVE
City SAN DIEGO
State CA
ZIP 92121
Phone 858 616-8038
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 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director STANLEY M. BESSER MD

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