05D2153026 CLIA NUMBER - MEDPLUS A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2153026
  • Facility Name: MEDPLUS A MEDICAL CORPORATION
  • Facility Address: 617 E ALVARADO STREET
    FALLBROOK, CA
    ZIP 92028
  • Facility Phone: 909 238-7300
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GRAYDON SKEOCH
  • NPI Number: 1629572425
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2153026
LAB Type Practitioner Other
Facility Name MEDPLUS A MEDICAL CORPORATION
Street 617 E ALVARADO STREET
City FALLBROOK
State CA
ZIP 92028
Phone 909 238-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Practitioner Other
Lab Director GRAYDON SKEOCH

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