05D2301691 CLIA NUMBER - SD HEALTH HOLDINGS

Laboratory Demographics

  • CLIA Code: 05D2301691
  • Facility Name: SD HEALTH HOLDINGS
  • Facility Address: 5935 JOEL LN
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 858 999-0163
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN SMALL
  • NPI Number: 1841929940
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2301691
LAB Type Other - SUBSTANCE ABUSE
Facility Name SD HEALTH HOLDINGS
Street 5935 JOEL LN
City LA MESA
State CA
ZIP 91942
Phone 858 999-0163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Other - SUBSTANCE ABUSE
Lab Director CHRISTIAN SMALL

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