05D2109092 CLIA NUMBER - BLUE COAST CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 05D2109092
  • Facility Name: BLUE COAST CARDIOLOGY
  • Facility Address: 2067 W VISTA WAY, STE 225
    VISTA, CA
    ZIP 92083
  • Facility Phone: 760 630-2550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANH BUI, MD
  • NPI Number: 1649526518
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2109092
LAB Type Physician Office
Facility Name BLUE COAST CARDIOLOGY
Street 2067 W VISTA WAY, STE 225
City VISTA
State CA
ZIP 92083
Phone 760 630-2550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director HANH BUI, MD

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