05D0571192 CLIA NUMBER - SCRIPPS CLINIC LA JOLLA - GENESEE EXECUTIVE PLAZA

Laboratory Demographics

  • CLIA Code: 05D0571192
  • Facility Name: SCRIPPS CLINIC LA JOLLA - GENESEE EXECUTIVE PLAZA
  • Facility Address: 9333 GENESEE AVE
    SAN DIEGO, CA
    ZIP 92121
  • Facility Phone: 858 554-9642
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMITA JAIN
  • NPI Number: 1649655267
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0571192
LAB Type Physician Office
Facility Name SCRIPPS CLINIC LA JOLLA - GENESEE EXECUTIVE PLAZA
Street 9333 GENESEE AVE
City SAN DIEGO
State CA
ZIP 92121
Phone 858 554-9642
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AMITA JAIN

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