05D1038443 CLIA NUMBER - GABRIEL T FABELLA MD INC

Laboratory Demographics

  • CLIA Code: 05D1038443
  • Facility Name: GABRIEL T FABELLA MD INC
  • Facility Address: 10737 CAMINO RUIZ 115
    SAN DIEGO, CA
    ZIP 92126
  • Facility Phone: 858 695-1262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIEL FABELLA MD
  • NPI Number: 1124060827
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1038443
LAB Type Physician Office
Facility Name GABRIEL T FABELLA MD INC
Street 10737 CAMINO RUIZ 115
City SAN DIEGO
State CA
ZIP 92126
Phone 858 695-1262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director GABRIEL FABELLA MD

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