05D2186694 CLIA NUMBER - LA COSTA UROLOGY

Laboratory Demographics

  • CLIA Code: 05D2186694
  • Facility Name: LA COSTA UROLOGY
  • Facility Address: 3907 WARING RD STE 4
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 760 295-9984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON PHILLIPS
  • NPI Number: 1881225050
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2186694
LAB Type Physician Office
Facility Name LA COSTA UROLOGY
Street 3907 WARING RD STE 4
City OCEANSIDE
State CA
ZIP 92056
Phone 760 295-9984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director JASON PHILLIPS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025