05D0723659 CLIA NUMBER - JOSE M PARTIDA MD

Laboratory Demographics

  • CLIA Code: 05D0723659
  • Facility Name: JOSE M PARTIDA MD
  • Facility Address: 298 SHASTA ST
    CHULA VISTA, CA
    ZIP 91910
  • Facility Phone: 619 420-4246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE PARTIDA
  • NPI Number: 1477760247
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0723659
LAB Type Physician Office
Facility Name JOSE M PARTIDA MD
Street 298 SHASTA ST
City CHULA VISTA
State CA
ZIP 91910
Phone 619 420-4246
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 JOSE PARTIDA

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