NPIMap

Organization Active NPI

San Diego County Public Health Laboratory

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1144357948
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D0060808 Issued in CA
Legal business name
SAN DIEGO COUNTY PUBLIC HEALTH LABORATORY
Practice address
5540 Overland Ave
San Diego, CA 92123-1253
Phone
(858) 325-6400
Fax
(858) 268-4102
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeremy Corrigan, DR.PH, HCLD/TS(ABB)
Title
Director Agency Operations
Phone
(858) 325-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0060808 CA Primary

Addresses

Primary practice location

5540 Overland Ave
San Diego, CA 92123-1253

Mailing address

5540 Overland Ave
San Diego, CA 92123-1253
Phone (858) 325-6400

Other identifiers 1

IdentifierTypeStateIssuer
LAB60608FMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2324555San Diego County Public Health Laboratory5540 Overland Ave, San Diego, CA 92123RegistrationMay 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Edgemoor Geriatric Hospital101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3851 Rosecrans St
#P572
San Diego, CA 92110

3851 Rosecrans St
Ste 716
San Diego, CA 92110
Phone (619) 692-8500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1144357948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 OVERLAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231253",
            "telephone_number": "858-325-6400",
            "fax_number": "858-268-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 OVERLAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231253",
            "telephone_number": "858-325-6400",
            "fax_number": "858-268-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO COUNTY PUBLIC HEALTH LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR AGENCY OPERATIONS",
        "authorized_official_telephone_number": "858-325-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR.PH, HCLD/TS(ABB)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0060808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB60608F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.