05D2081152 CLIA NUMBER - PALOMAR HEALTH FORENSIC HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2081152
  • Facility Name: PALOMAR HEALTH FORENSIC HEALTH SERVICES
  • Facility Address: 1050 LOS VALLECITOS BLVD, STE 104
    SAN MARCOS, CA
    ZIP 92069
  • Facility Phone: 760 739-2150
  • Facility Type: Other - FORENSIC HEALTH SERVICES
  • Facility Type: Waiver
  • Lab Director: NICOLE AYSON
  • NPI Number: 1386134864
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 05D2081152
LAB Type Other - FORENSIC HEALTH SERVICES
Facility Name PALOMAR HEALTH FORENSIC HEALTH SERVICES
Street 1050 LOS VALLECITOS BLVD, STE 104
City SAN MARCOS
State CA
ZIP 92069
Phone 760 739-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Other - FORENSIC HEALTH SERVICES
Lab Director NICOLE AYSON

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