05D0966067 CLIA NUMBER - LUIS M MARQUEZ MD INC

Laboratory Demographics

CLIA Number: 05D0966067

Facility Name: LUIS M MARQUEZ MD INC

Facility Address:
4060 4TH AVE STE 540
SAN DIEGO, CA
ZIP 92103
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Facility Phone Number: 619 236-8796

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801865795

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024