05D2044538 CLIA NUMBER - POMERADO HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D2044538
  • Facility Name: POMERADO HOSPITAL
  • Facility Address: 15615 POMERADO RD 2ND FL CLINICAL LABORATORY
    POWAY, CA
    ZIP 92064
  • Facility Phone: 760 739-2633
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JERRY KOLINS
  • NPI Number: 1760689731
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2044538
LAB Type Hospital
Facility Name POMERADO HOSPITAL
Street 15615 POMERADO RD 2ND FL CLINICAL LABORATORY
City POWAY
State CA
ZIP 92064
Phone 760 739-2633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Hospital
Lab Director JERRY KOLINS

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