05D0719321 CLIA NUMBER - LA JOLLA ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D0719321
  • Facility Name: LA JOLLA ENDOSCOPY CENTER
  • Facility Address: 9850 GENESEE AVE SUITE 980
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 453-7525
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREW G. MAYER
  • NPI Number: 1649717737
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 05D0719321
LAB Type Ambulatory Surgery Center
Facility Name LA JOLLA ENDOSCOPY CENTER
Street 9850 GENESEE AVE SUITE 980
City LA JOLLA
State CA
ZIP 92037
Phone 858 453-7525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Ambulatory Surgery Center
Lab Director ANDREW G. MAYER

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