05D0855927 CLIA NUMBER - CHULA VISTA WOMEN'S CARE DBA LIFETIME WOMEN'S HEALTHCARE

Laboratory Demographics

CLIA Number: 05D0855927

Facility Name: CHULA VISTA WOMEN'S CARE DBA LIFETIME WOMEN'S HEALTHCARE

Facility Address:
752 MEDICAL CENTER COURT, SUITE #106
CHULA VISTA, CA
ZIP 91911
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Facility Phone Number: 619 482-8406

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1487787248

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D0855927
LAB Type	Physician Office
Facility Name	CHULA VISTA WOMEN'S CARE DBA LIFETIME WOMEN'S HEALTHCARE
Street	752 MEDICAL CENTER COURT, SUITE #106
City	CHULA VISTA
State	CA
ZIP	91911
Phone	619 482-8406
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024