05D2142214 CLIA NUMBER - VINCENT V SOUN, MD INC

Laboratory Demographics

  • CLIA Code: 05D2142214
  • Facility Name: VINCENT V SOUN, MD INC
  • Facility Address: 529 PINE AVE
    HOLTVILLE, CA
    ZIP 92250
  • Facility Phone: 760 756-3172
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT SOUN, MD
  • NPI Number: 1235450834
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2142214
LAB Type Physician Office
Facility Name VINCENT V SOUN, MD INC
Street 529 PINE AVE
City HOLTVILLE
State CA
ZIP 92250
Phone 760 756-3172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director VINCENT SOUN, MD

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