05D2056702 CLIA NUMBER - ROBERT B. PENDLETON M.D. PH.D INC

Laboratory Demographics

  • CLIA Code: 05D2056702
  • Facility Name: ROBERT B. PENDLETON M.D. PH.D INC
  • Facility Address: 3637 VISTA WAY
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 760 758-2008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT B. PENDLETON, MD
  • NPI Number: 1386848216
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2056702
LAB Type Physician Office
Facility Name ROBERT B. PENDLETON M.D. PH.D INC
Street 3637 VISTA WAY
City OCEANSIDE
State CA
ZIP 92056
Phone 760 758-2008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director ROBERT B. PENDLETON, MD

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This page was last updated on: 6/4/2025