05D2295102 CLIA NUMBER - HEALMEDO2

Laboratory Demographics

  • CLIA Code: 05D2295102
  • Facility Name: HEALMEDO2
  • Facility Address: 655 EUCLID AVENUE SUITE 200
    NATIONAL CITY, CA
    ZIP 91950
  • Facility Phone: 619 470-4325
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAKHESH GUTTIKONDA
  • NPI Number: 1386047660
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2295102
LAB Type Physician Office
Facility Name HEALMEDO2
Street 655 EUCLID AVENUE SUITE 200
City NATIONAL CITY
State CA
ZIP 91950
Phone 619 470-4325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director RAKHESH GUTTIKONDA

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This page was last updated on: 3/20/2025