05D0570901 CLIA NUMBER - DAVID P HANSEN MD

Laboratory Demographics

CLIA Number: 05D0570901

Facility Name: DAVID P HANSEN MD

Facility Address:
1117 10TH ST
CORONADO, CA
ZIP 92118
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Facility Phone Number: (619) 435-1861

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

CLIA Record

Field Name	Field Value
CLIA Number	05D0570901
LAB Type	PHYSICIAN OFFICE
Facility Name	DAVID P HANSEN MD
Street	1117 10TH ST
City	CORONADO
State	CA
ZIP	92118
Phone	(619) 435-1861

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