05D2089582 CLIA NUMBER - ARCH HEALTH PARTNERS RANCHO PENASQUITOS

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Laboratory Demographics

CLIA Number: 05D2089582

Facility Name: ARCH HEALTH PARTNERS RANCHO PENASQUITOS

Facility Address:
9878 CARMEL MOUNTAIN RD STE B
SAN DIEGO, CA
ZIP 92129
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Facility Phone Number: 858 675-3208

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568870657

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2089582
LAB Type	Physician Office
Facility Name	ARCH HEALTH PARTNERS RANCHO PENASQUITOS
Street	9878 CARMEL MOUNTAIN RD STE B
City	SAN DIEGO
State	CA
ZIP	92129
Phone	858 675-3208
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024