05D0571393 CLIA NUMBER - RADY CHILDREN'S HOSPITAL - SAN DIEGO

Laboratory Demographics

  • CLIA Code: 05D0571393
  • Facility Name: RADY CHILDREN'S HOSPITAL - SAN DIEGO
  • Facility Address: 3020 CHILDREN'S WAY, MC 5007
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 858 966-5413
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. DENISE M. MALICKI
  • NPI Number: 1932632031
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0571393
LAB Type Hospital
Facility Name RADY CHILDREN'S HOSPITAL - SAN DIEGO
Street 3020 CHILDREN'S WAY, MC 5007
City SAN DIEGO
State CA
ZIP 92123
Phone 858 966-5413
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 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Hospital
Lab Director DR. DENISE M. MALICKI

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