05D2308112 CLIA NUMBER - PALOMAR HEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2308112
  • Facility Name: PALOMAR HEALTH MEDICAL GROUP
  • Facility Address: 15721 POMERADO ROAD
    POWAY, CA
    ZIP 92064
  • Facility Phone: 858 675-3145
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIANE M. SCOTT
  • NPI Number: 1073192720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2308112
LAB Type Physician Office
Facility Name PALOMAR HEALTH MEDICAL GROUP
Street 15721 POMERADO ROAD
City POWAY
State CA
ZIP 92064
Phone 858 675-3145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director DIANE M. SCOTT

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