05D0982734 CLIA NUMBER - UCSD AMBULATORY SURGERY CENTER DBA LA JOLLA ORTHOPAEDIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0982734
  • Facility Name: UCSD AMBULATORY SURGERY CENTER DBA LA JOLLA ORTHOPAEDIC SURGERY CENTER
  • Facility Address: 4120 LA JOLLA VILLAGE DR
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 657-0055
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID LEVINE
  • NPI Number: 1972503233
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0982734
LAB Type Ambulatory Surgery Center
Facility Name UCSD AMBULATORY SURGERY CENTER DBA LA JOLLA ORTHOPAEDIC SURGERY CENTER
Street 4120 LA JOLLA VILLAGE DR
City LA JOLLA
State CA
ZIP 92037
Phone 858 657-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID LEVINE

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