05D2060275 CLIA NUMBER - CARMEL VALLEY DONOR CENTER

Laboratory Demographics

  • CLIA Code: 05D2060275
  • Facility Name: CARMEL VALLEY DONOR CENTER
  • Facility Address: 3880 VALLEY CENTER DR STE 209
    SAN DIEGO, CA
    ZIP 92130
  • Facility Phone: 619 400-8254
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: MARK EDMUNDS
  • NPI Number: 1710325220
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2060275
LAB Type Blood Bank
Facility Name CARMEL VALLEY DONOR CENTER
Street 3880 VALLEY CENTER DR STE 209
City SAN DIEGO
State CA
ZIP 92130
Phone 619 400-8254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Blood Bank
Lab Director MARK EDMUNDS

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