05D2295583 CLIA NUMBER - EVERSIDE HEALTH ESCONDIDO

Laboratory Demographics

  • CLIA Code: 05D2295583
  • Facility Name: EVERSIDE HEALTH ESCONDIDO
  • Facility Address: 488 E VALLEY PARKWAY SUITE 316
    ESCONDIDO, CA
    ZIP 92025
  • Facility Phone: 442 372-7202
  • Facility Type: Other - CHRONIC MGT
  • Facility Type: Waiver
  • Lab Director: JOHN LANDSBERG
  • NPI Number: 1780464024
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2295583
LAB Type Other - CHRONIC MGT
Facility Name EVERSIDE HEALTH ESCONDIDO
Street 488 E VALLEY PARKWAY SUITE 316
City ESCONDIDO
State CA
ZIP 92025
Phone 442 372-7202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Other - CHRONIC MGT
Lab Director JOHN LANDSBERG

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This page was last updated on: 6/4/2025