05D0865142 CLIA NUMBER - UCSD AMBULATORY SURGERY CENTER, LLC DBA UNIVERSITY AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0865142
  • Facility Name: UCSD AMBULATORY SURGERY CENTER, LLC DBA UNIVERSITY AMBULATORY SURGERY CENTER
  • Facility Address: 8929 UNIVERSITY CENTER LANE NO 103
    SAN DIEGO, CA
    ZIP 92122
  • Facility Phone: 858 554-0220
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DOUGLAS WEMMER, MD
  • NPI Number: 1609056290
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0865142
LAB Type Ambulatory Surgery Center
Facility Name UCSD AMBULATORY SURGERY CENTER, LLC DBA UNIVERSITY AMBULATORY SURGERY CENTER
Street 8929 UNIVERSITY CENTER LANE NO 103
City SAN DIEGO
State CA
ZIP 92122
Phone 858 554-0220
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 Ambulatory Surgery Center
Lab Director DOUGLAS WEMMER, MD

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