05D1010798 CLIA NUMBER - NOAH C JOHNSON MD

Laboratory Demographics

  • CLIA Code: 05D1010798
  • Facility Name: NOAH C JOHNSON MD
  • Facility Address: 10158 BUENA VISTA AVENUE
    SANTEE, CA
    ZIP 92071
  • Facility Phone: 619 562-1140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOAH C. JOHNSON MD
  • NPI Number: 1932215092
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1010798
LAB Type Physician Office
Facility Name NOAH C JOHNSON MD
Street 10158 BUENA VISTA AVENUE
City SANTEE
State CA
ZIP 92071
Phone 619 562-1140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director NOAH C. JOHNSON MD

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