05D0060831 CLIA NUMBER - SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES LAB

Laboratory Demographics

  • CLIA Code: 05D0060831
  • Facility Name: SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES LAB
  • Facility Address: 5700 HARDY AVE, RM 2400
    SAN DIEGO, CA
    ZIP 92182
  • Facility Phone: 619 594-5947
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Accreditation
  • Lab Director: DR. DIANE R. FERNANDEZ
  • NPI Number: 1972964468
  • Taxonomy: 237600000X - Audiologist-Hearing Aid Fitter

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CLIA Record

Field Name Field Value
CLIA Number 05D0060831
LAB Type Comp. Outpatient Rehab Facility
Facility Name SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES LAB
Street 5700 HARDY AVE, RM 2400
City SAN DIEGO
State CA
ZIP 92182
Phone 619 594-5947
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. DIANE R. FERNANDEZ

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