05D0700483 CLIA NUMBER - MARCOS BORRERO, MD

Laboratory Demographics

  • CLIA Code: 05D0700483
  • Facility Name: MARCOS BORRERO, MD
  • Facility Address: 3490 PALM AVENUE
    SAN DIEGO, CA
    ZIP 92154
  • Facility Phone: 619 423-5616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCOS BORRERO, MD
  • NPI Number: 1952312621
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0700483
LAB Type Physician Office
Facility Name MARCOS BORRERO, MD
Street 3490 PALM AVENUE
City SAN DIEGO
State CA
ZIP 92154
Phone 619 423-5616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARCOS BORRERO, MD

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