05D0570170 CLIA NUMBER - GREEN GAIDRY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D0570170

Facility Name: GREEN GAIDRY MEDICAL CLINIC

Facility Address:
1101 FELSPAR STREET
SAN DIEGO, CA
ZIP 92109
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Facility Phone Number: (858) 483-1720

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

CLIA Record

Field Name	Field Value
CLIA Number	05D0570170
LAB Type	PHYSICIAN OFFICE
Facility Name	GREEN GAIDRY MEDICAL CLINIC
Street	1101 FELSPAR STREET
City	SAN DIEGO
State	CA
ZIP	92109
Phone	(858) 483-1720

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This page was last updated on: 5/11/2023