05D2145200 CLIA NUMBER - SHARP GROSSMONT HOSPITAL CARE CLINIC

Laboratory Demographics

  • CLIA Code: 05D2145200
  • Facility Name: SHARP GROSSMONT HOSPITAL CARE CLINIC
  • Facility Address: 8851 CENTER DR STE 600
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 740-5724
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JAMES B. CARRY, MD
  • NPI Number: 1245363670
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2145200
LAB Type Hospital
Facility Name SHARP GROSSMONT HOSPITAL CARE CLINIC
Street 8851 CENTER DR STE 600
City LA MESA
State CA
ZIP 91942
Phone 619 740-5724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Hospital
Lab Director JAMES B. CARRY, MD

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