05D1022417 CLIA NUMBER - SAN DIEGO CLINICAL TRIALS DBA ALVARADO LA MESA UROLOGY MEDICAL INC

Laboratory Demographics

  • CLIA Code: 05D1022417
  • Facility Name: SAN DIEGO CLINICAL TRIALS DBA ALVARADO LA MESA UROLOGY MEDICAL INC
  • Facility Address: 8881 FLETCHER PARKWAY, STE 250A
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 287-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMED BIDAIR
  • NPI Number: 1598394223
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 05D1022417
LAB Type Physician Office
Facility Name SAN DIEGO CLINICAL TRIALS DBA ALVARADO LA MESA UROLOGY MEDICAL INC
Street 8881 FLETCHER PARKWAY, STE 250A
City LA MESA
State CA
ZIP 91942
Phone 619 287-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director MOHAMED BIDAIR

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