05D0952177 CLIA NUMBER - UCSD STUDENT-RUN FREE CLINIC PROJECT

Laboratory Demographics

  • CLIA Code: 05D0952177
  • Facility Name: UCSD STUDENT-RUN FREE CLINIC PROJECT
  • Facility Address: 1561 THOMAS ST
    SAN DIEGO, CA
    ZIP 92109
  • Facility Phone: 858 534-6160
  • Facility Type: Other - FREE CLINIC PROJECT
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. JOHNSON
  • NPI Number: 1578965471
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0952177
LAB Type Other - FREE CLINIC PROJECT
Facility Name UCSD STUDENT-RUN FREE CLINIC PROJECT
Street 1561 THOMAS ST
City SAN DIEGO
State CA
ZIP 92109
Phone 858 534-6160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Other - FREE CLINIC PROJECT
Lab Director MICHELLE L. JOHNSON

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