05D2295195 CLIA NUMBER - SGF SOCAL, LLC

Laboratory Demographics

  • CLIA Code: 05D2295195
  • Facility Name: SGF SOCAL, LLC
  • Facility Address: 462 STEVENS AVE SUITE 206
    SOLANA BEACH, CA
    ZIP 92075
  • Facility Phone: 301 545-1210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDER QUAAS
  • NPI Number: 1063197648
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2295195
LAB Type Physician Office
Facility Name SGF SOCAL, LLC
Street 462 STEVENS AVE SUITE 206
City SOLANA BEACH
State CA
ZIP 92075
Phone 301 545-1210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director ALEXANDER QUAAS

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