05D2306496 CLIA NUMBER - FICAREMED

Laboratory Demographics

  • CLIA Code: 05D2306496
  • Facility Name: FICAREMED
  • Facility Address: 15644 POMERADO RD STE 100
    POWAY, CA
    ZIP 92064
  • Facility Phone: 858 485-5111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCELO R. RIVERA
  • NPI Number: 1336827211
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2306496
LAB Type Physician Office
Facility Name FICAREMED
Street 15644 POMERADO RD STE 100
City POWAY
State CA
ZIP 92064
Phone 858 485-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director MARCELO R. RIVERA

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