05D0571204 CLIA NUMBER - LABORATORY CORPORATION OF AMERICA

Laboratory Demographics

  • CLIA Code: 05D0571204
  • Facility Name: LABORATORY CORPORATION OF AMERICA
  • Facility Address: 13112 EVENING CREEK DRIVE, SOUTH STE 300
    SAN DIEGO, CA
    ZIP 92128
  • Facility Phone: 858 668-3700
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. GORDANA STEVANOVIC
  • NPI Number: 1659352276
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0571204
LAB Type Independent
Facility Name LABORATORY CORPORATION OF AMERICA
Street 13112 EVENING CREEK DRIVE, SOUTH STE 300
City SAN DIEGO
State CA
ZIP 92128
Phone 858 668-3700
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 6/14/2023
Certificate Expiration Date 6/13/2025
Facility Type Independent
Lab Director DR. GORDANA STEVANOVIC

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This page was last updated on: 3/20/2025