05D2069802 CLIA NUMBER - CARMEL VALLEY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2069802
  • Facility Name: CARMEL VALLEY SURGICAL CENTER
  • Facility Address: 11943 EL CAMINO REAL, SUITE 100A
    SAN DIEGO, CA
    ZIP 92130
  • Facility Phone: 858 259-3223
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMIR M. KARAM, MD
  • NPI Number: 1881947471
  • Taxonomy: 2086S0122X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2069802
LAB Type Ambulatory Surgery Center
Facility Name CARMEL VALLEY SURGICAL CENTER
Street 11943 EL CAMINO REAL, SUITE 100A
City SAN DIEGO
State CA
ZIP 92130
Phone 858 259-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Ambulatory Surgery Center
Lab Director AMIR M. KARAM, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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