05D0966067 CLIA NUMBER - LUIS M MARQUEZ MD INC

Laboratory Demographics

  • CLIA Code: 05D0966067
  • Facility Name: LUIS M MARQUEZ MD INC
  • Facility Address: 4060 4TH AVE STE 540
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 236-8796
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS M. MARQUEZ MD
  • NPI Number: 1801865795
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0966067
LAB Type Physician Office
Facility Name LUIS M MARQUEZ MD INC
Street 4060 4TH AVE STE 540
City SAN DIEGO
State CA
ZIP 92103
Phone 619 236-8796
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director LUIS M. MARQUEZ MD

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