05D2100182 CLIA NUMBER - NORTH COUNTY DERMATOLOGY CENTER A PROFESSIONAL PARTNERSHIP

Laboratory Demographics

  • CLIA Code: 05D2100182
  • Facility Name: NORTH COUNTY DERMATOLOGY CENTER A PROFESSIONAL PARTNERSHIP
  • Facility Address: 477 N EL CAMINO REAL, STE C312
    ENCINITAS, CA
    ZIP 92024
  • Facility Phone: 760 230-2805
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID E. THOMAS
  • NPI Number: 1700264157
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2100182
LAB Type Physician Office
Facility Name NORTH COUNTY DERMATOLOGY CENTER A PROFESSIONAL PARTNERSHIP
Street 477 N EL CAMINO REAL, STE C312
City ENCINITAS
State CA
ZIP 92024
Phone 760 230-2805
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director DAVID E. THOMAS

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