05D0993865 CLIA NUMBER - ROBERT A HOUGHTON MD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 05D0993865
  • Facility Name: ROBERT A HOUGHTON MD FAMILY PRACTICE
  • Facility Address: 1855 FIRST AVENUE SUITE 200-B
    SAN DIEGO, CA
    ZIP 92101
  • Facility Phone: 619 233-4044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. HOUGHTON MD
  • NPI Number: 1124138045
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0993865
LAB Type Physician Office
Facility Name ROBERT A HOUGHTON MD FAMILY PRACTICE
Street 1855 FIRST AVENUE SUITE 200-B
City SAN DIEGO
State CA
ZIP 92101
Phone 619 233-4044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director ROBERT A. HOUGHTON MD

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