05D2076719 CLIA NUMBER - SCOTT L BROWN MD A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2076719
  • Facility Name: SCOTT L BROWN MD A PROFESSIONAL CORPORATION
  • Facility Address: 8881 FLETCHER PARKWAY, STE 250
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 828-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT L. BROWN
  • NPI Number: 1477592681
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2076719
LAB Type Physician Office
Facility Name SCOTT L BROWN MD A PROFESSIONAL CORPORATION
Street 8881 FLETCHER PARKWAY, STE 250
City LA MESA
State CA
ZIP 91942
Phone 619 828-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director SCOTT L. BROWN

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