05D0571192 CLIA NUMBER - SCRIPPS HEALTH/SCRIPPS CLINIC MED LAB

Laboratory Demographics

  • CLIA Code: 05D0571192
  • Facility Name: SCRIPPS HEALTH/SCRIPPS CLINIC MED LAB
  • Facility Address: 9333 GENESEE AVE 170
    SAN DIEGO, CA
    ZIP 92121
  • Facility Phone: 858 882-8350
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: EDWARD KANE
  • NPI Number: 1649655267
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0571192
LAB Type Physician Office
Facility Name SCRIPPS HEALTH/SCRIPPS CLINIC MED LAB
Street 9333 GENESEE AVE 170
City SAN DIEGO
State CA
ZIP 92121
Phone 858 882-8350
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 EDWARD KANE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025