SKYLINEDX USA INC.
NPI 1609483510
Clinical Medical Laboratory in San Diego, CA

Active since September 24, 2020CLIA 05D2159130 · Accreditation
3030 BUNKER HILL ST STE 230, SAN DIEGO, CA 92109(858) 886-7907 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2020, Sep 24, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 05D2159130
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 12-11-2027

About SKYLINEDX USA INC.

This page provides the complete NPI Profile along with additional information for Skylinedx Usa Inc., a provider established in San Diego, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1609483510 assigned on September 2020. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Pim Van Bruggen Mba (Executive Vp, Finance, Hr & Legal)

NPI
1609483510 Verify this NPI
Provider Name
SKYLINEDX USA INC.
Entity Type
Organization
Location Address
3030 BUNKER HILL ST STE 230 SAN DIEGO, CA 92109
Location Phone
(858) 886-7907
Mailing Address
3030 BUNKER HILL ST STE 230 SAN DIEGO, CA 92109
Mailing Phone
(858) 886-7907
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2020
Last Update Date
12-16-2020
Code Navigator

Establishments like Skylinedx Usa Inc. are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PIM VAN BRUGGEN MBA

Authorized Official Title
EXECUTIVE VP, FINANCE, HR & LEGAL
Authorized Official Phone
(010) 720-0313

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Molecular pathology procedure

A molecular pathology procedure is a specialized lab test that analyzes your genes at a molecular level. It helps identify genetic variations or changes that may affect your health. This information can assist in diagnosing, monitoring, and deciding treatment for certain conditions.

This service was performed 15 times for 14 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2159130
Facility Type
Independent
Certificate Effective Date
December 12, 2025
Certificate Expiration Date
December 11, 2027
Laboratory Director
DR. KENDAL JENSEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Skylinedx Usa Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for SKYLINEDX USA INC.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609483510, enumerated as an "organization" on September 24, 2020.

The provider is located at 3030 BUNKER HILL ST STE 230 SAN DIEGO, CA 92109 and the phone number is (858) 886-7907.

Clinical Medical Laboratory with taxonomy code 291U00000X.