05D1028625 CLIA NUMBER - MEDICUS MD INC BARBARA DENYSIAK MD

Laboratory Demographics

  • CLIA Code: 05D1028625
  • Facility Name: MEDICUS MD INC BARBARA DENYSIAK MD
  • Facility Address: 3969 4TH AVE STE 203
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 294-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA DENYSIAK MD
  • NPI Number: 1427076009
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1028625
LAB Type Physician Office
Facility Name MEDICUS MD INC BARBARA DENYSIAK MD
Street 3969 4TH AVE STE 203
City SAN DIEGO
State CA
ZIP 92103
Phone 619 294-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director BARBARA DENYSIAK MD

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