05D2066437 CLIA NUMBER - CARMEL MOUNTAIN VISION CARE

Laboratory Demographics

  • CLIA Code: 05D2066437
  • Facility Name: CARMEL MOUNTAIN VISION CARE
  • Facility Address: 9320 CARMEL MTN RD.STE E
    SAN DIEGO, CA
    ZIP 92129
  • Facility Phone: 858 484-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN REEDER, OD
  • NPI Number: 1922103688
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2066437
LAB Type Physician Office
Facility Name CARMEL MOUNTAIN VISION CARE
Street 9320 CARMEL MTN RD.STE E
City SAN DIEGO
State CA
ZIP 92129
Phone 858 484-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director KEVIN REEDER, OD

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