05D2118880 CLIA NUMBER - SHARPCARE MEDICAL

Laboratory Demographics

  • CLIA Code: 05D2118880
  • Facility Name: SHARPCARE MEDICAL
  • Facility Address: 230 PROSPECT PL STE 340B
    CORONADO, CA
    ZIP 92118
  • Facility Phone: 858 499-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOY EMMANUEL-COCHRANE DO
  • NPI Number: 1730521568
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2118880
LAB Type Physician Office
Facility Name SHARPCARE MEDICAL
Street 230 PROSPECT PL STE 340B
City CORONADO
State CA
ZIP 92118
Phone 858 499-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director JOY EMMANUEL-COCHRANE DO

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