05D2273441 CLIA NUMBER - COASTAL A.S.C. LLC

Laboratory Demographics

  • CLIA Code: 05D2273441
  • Facility Name: COASTAL A.S.C. LLC
  • Facility Address: 6221 METROPOLITAN ST STE 102
    CARLSBAD, CA
    ZIP 92009
  • Facility Phone: 760 607-1750
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NATHAN MILLER
  • NPI Number: 1326702457
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2273441
LAB Type Ambulatory Surgery Center
Facility Name COASTAL A.S.C. LLC
Street 6221 METROPOLITAN ST STE 102
City CARLSBAD
State CA
ZIP 92009
Phone 760 607-1750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Ambulatory Surgery Center
Lab Director NATHAN MILLER

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