05D0957426 CLIA NUMBER - EMERGENCY CARE DYNAMICS URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D0957426
  • Facility Name: EMERGENCY CARE DYNAMICS URGENT CARE
  • Facility Address: 3434 MIDWAY DRIVE #1002
    SAN DIEGO, CA
    ZIP 92110
  • Facility Phone: 619 225-6200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK J. TAMSEN MD
  • NPI Number: 1972505857
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0957426
LAB Type Physician Office
Facility Name EMERGENCY CARE DYNAMICS URGENT CARE
Street 3434 MIDWAY DRIVE #1002
City SAN DIEGO
State CA
ZIP 92110
Phone 619 225-6200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director MARK J. TAMSEN MD

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