05D2203004 CLIA NUMBER - SAN GABRIEL CLINIC

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Laboratory Demographics

CLIA Number: 05D2203004

Facility Name: SAN GABRIEL CLINIC

Facility Address:
3231 WARING CT STE B
OCEANSIDE, CA
ZIP 92056
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Facility Phone Number: 559 900-7185

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659984078

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2203004
LAB Type	Physician Office
Facility Name	SAN GABRIEL CLINIC
Street	3231 WARING CT STE B
City	OCEANSIDE
State	CA
ZIP	92056
Phone	559 900-7185
CertificateType	4
CertificateEffectiveDate	12/2/2022
CertificateExpirationDate	12/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024