05D0978593 CLIA NUMBER - EYE CARE OF SAN DIEGO

Laboratory Demographics

  • CLIA Code: 05D0978593
  • Facility Name: EYE CARE OF SAN DIEGO
  • Facility Address: 3939 THIRD AVE
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 951 587-7462
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. BOKOSKY
  • NPI Number: 1053578575
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 05D0978593
LAB Type Physician Office
Facility Name EYE CARE OF SAN DIEGO
Street 3939 THIRD AVE
City SAN DIEGO
State CA
ZIP 92103
Phone 951 587-7462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director JOHN E. BOKOSKY

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