05D0945047 CLIA NUMBER - MICHAEL L BUTERA MD

Laboratory Demographics

  • CLIA Code: 05D0945047
  • Facility Name: MICHAEL L BUTERA MD
  • Facility Address: 6699 ALVARADO RD, STE 2308
    SAN DIEGO, CA
    ZIP 92120
  • Facility Phone: 619 462-9010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. BUTERA MD
  • NPI Number: 1104925205
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0945047
LAB Type Physician Office
Facility Name MICHAEL L BUTERA MD
Street 6699 ALVARADO RD, STE 2308
City SAN DIEGO
State CA
ZIP 92120
Phone 619 462-9010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director MICHAEL L. BUTERA MD

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This page was last updated on: 6/4/2025