05D2275263 CLIA NUMBER - AGELESS MEN'S HEALTH- CARLSBAD

Laboratory Demographics

  • CLIA Code: 05D2275263
  • Facility Name: AGELESS MEN'S HEALTH- CARLSBAD
  • Facility Address: 3144 EL CAMINO REAL STE 106
    CARLSBAD, CA
    ZIP 92008
  • Facility Phone: 760 994-0479
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH GRUBBS
  • NPI Number: 1063055614
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2275263
LAB Type Physician Office
Facility Name AGELESS MEN'S HEALTH- CARLSBAD
Street 3144 EL CAMINO REAL STE 106
City CARLSBAD
State CA
ZIP 92008
Phone 760 994-0479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director KENNETH GRUBBS

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