05D2124911 CLIA NUMBER - CROWNVIEW CO-OCCURING INSTITUTE INC

Laboratory Demographics

  • CLIA Code: 05D2124911
  • Facility Name: CROWNVIEW CO-OCCURING INSTITUTE INC
  • Facility Address: 315 N CLEMENTINE ST
    OCEANSIDE, CA
    ZIP 92054
  • Facility Phone: 619 435-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK MELDEN, DO
  • NPI Number: 1598928798
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2124911
LAB Type Physician Office
Facility Name CROWNVIEW CO-OCCURING INSTITUTE INC
Street 315 N CLEMENTINE ST
City OCEANSIDE
State CA
ZIP 92054
Phone 619 435-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director MARK MELDEN, DO

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