05D2048076 CLIA NUMBER - BRIGHTSTAR OF ESCONDIDO AND SAN MARCOS

Laboratory Demographics

  • CLIA Code: 05D2048076
  • Facility Name: BRIGHTSTAR OF ESCONDIDO AND SAN MARCOS
  • Facility Address: 504 W MISSION AVE STE 206
    ESCONDIDO, CA
    ZIP 92025
  • Facility Phone: 760 738-1926
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GARY J. SHIMA, MD
  • NPI Number: 1417293713
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2048076
LAB Type Home Health Agency
Facility Name BRIGHTSTAR OF ESCONDIDO AND SAN MARCOS
Street 504 W MISSION AVE STE 206
City ESCONDIDO
State CA
ZIP 92025
Phone 760 738-1926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Home Health Agency
Lab Director GARY J. SHIMA, MD

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