05D0915491 CLIA NUMBER - JOSE RAMIRO LOPEZ MD

Laboratory Demographics

  • CLIA Code: 05D0915491
  • Facility Name: JOSE RAMIRO LOPEZ MD
  • Facility Address: 2648 MAIN ST STE A
    CHULA VISTA, CA
    ZIP 91911
  • Facility Phone: 619 575-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE R. LOPEZ MD
  • NPI Number: 1285191056
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 05D0915491
LAB Type Physician Office
Facility Name JOSE RAMIRO LOPEZ MD
Street 2648 MAIN ST STE A
City CHULA VISTA
State CA
ZIP 91911
Phone 619 575-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director JOSE R. LOPEZ MD

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