05D0894758 CLIA NUMBER - EDWARD J AHN MD

Laboratory Demographics

  • CLIA Code: 05D0894758
  • Facility Name: EDWARD J AHN MD
  • Facility Address: 7750 DAGGET STREET, #108
    SAN DIEGO, CA
    ZIP 92111
  • Facility Phone: 858 571-1004
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: EDWARD J. AHN
  • NPI Number: 1093805103
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0894758
LAB Type Other
Facility Name EDWARD J AHN MD
Street 7750 DAGGET STREET, #108
City SAN DIEGO
State CA
ZIP 92111
Phone 858 571-1004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Other
Lab Director EDWARD J. AHN

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