05D0719908 CLIA NUMBER - ALISA L WILLIAMS MD INC

Laboratory Demographics

  • CLIA Code: 05D0719908
  • Facility Name: ALISA L WILLIAMS MD INC
  • Facility Address: 5555 RESERVOIR DR, STE 307
    SAN DIEGO, CA
    ZIP 92120
  • Facility Phone: 619 299-3111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALISA L. WILLIAMS
  • NPI Number: 1720006398
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0719908
LAB Type Physician Office
Facility Name ALISA L WILLIAMS MD INC
Street 5555 RESERVOIR DR, STE 307
City SAN DIEGO
State CA
ZIP 92120
Phone 619 299-3111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALISA L. WILLIAMS

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