05D2203004 CLIA NUMBER - SAN GABRIEL CLINIC

Laboratory Demographics

  • CLIA Code: 05D2203004
  • Facility Name: SAN GABRIEL CLINIC
  • Facility Address: 3231 WARING CT STE B
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 760 666-7405
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAN AF GABRIEL
  • NPI Number: 1659984078
  • Taxonomy: 207Q00000X - Family Medicine

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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 760 666-7405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director SAN AF GABRIEL

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