05D2091515 CLIA NUMBER - RETINA CONSULTANTS SAN DIEGO INC

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Laboratory Demographics

CLIA Number: 05D2091515

Facility Name: RETINA CONSULTANTS SAN DIEGO INC

Facility Address:
12630 MONTE VISTA RD STE 104
POWAY, CA
ZIP 92064
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Facility Phone Number: 858 451-1911

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790736098

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	05D2091515
LAB Type	Physician Office
Facility Name	RETINA CONSULTANTS SAN DIEGO INC
Street	12630 MONTE VISTA RD STE 104
City	POWAY
State	CA
ZIP	92064
Phone	858 451-1911
CertificateType	4
CertificateEffectiveDate	2/13/2023
CertificateExpirationDate	2/12/2025
FacilityType	Waiver

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