05D0683043 CLIA NUMBER - IGO MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0683043
  • Facility Name: IGO MEDICAL GROUP
  • Facility Address: 9339 GENESEE AVE STE 220
    SAN DIEGO, CA
    ZIP 92121
  • Facility Phone: 858 455-7520
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. KEERTI GURUSHANTHAIAH
  • NPI Number: 1881623734
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0683043
LAB Type Independent
Facility Name IGO MEDICAL GROUP
Street 9339 GENESEE AVE STE 220
City SAN DIEGO
State CA
ZIP 92121
Phone 858 455-7520
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Independent
Lab Director DR. KEERTI GURUSHANTHAIAH

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