05D0956402 CLIA NUMBER - ANDREW L KULIK DO

Laboratory Demographics

  • CLIA Code: 05D0956402
  • Facility Name: ANDREW L KULIK DO
  • Facility Address: 3446 PARK BLVD
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 295-3470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW KULIK DO
  • NPI Number: 1770698938
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0956402
LAB Type Physician Office
Facility Name ANDREW L KULIK DO
Street 3446 PARK BLVD
City SAN DIEGO
State CA
ZIP 92103
Phone 619 295-3470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director ANDREW KULIK DO

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