05D2296400 CLIA NUMBER - CROWNVIEW PSYCHIATRIC INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2296400
  • Facility Name: CROWNVIEW PSYCHIATRIC INSTITUTE
  • Facility Address: 1114 VISTA WAY
    OCEANSIDE, CA
    ZIP 92054
  • Facility Phone: 619 909-3582
  • Facility Type: Other - BEHAV HEALTH FACILITY
  • Facility Type: Waiver
  • Lab Director: MARK MELDEN
  • NPI Number: 1639640212
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2296400
LAB Type Other - BEHAV HEALTH FACILITY
Facility Name CROWNVIEW PSYCHIATRIC INSTITUTE
Street 1114 VISTA WAY
City OCEANSIDE
State CA
ZIP 92054
Phone 619 909-3582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Other - BEHAV HEALTH FACILITY
Lab Director MARK MELDEN

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