05D1049308 CLIA NUMBER - LA JOLLA UROLOGY

Laboratory Demographics

  • CLIA Code: 05D1049308
  • Facility Name: LA JOLLA UROLOGY
  • Facility Address: 9834 GENESEE AVE, #224
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 458-0099
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SCOTT D. SIMON
  • NPI Number: 1811942139
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D1049308
LAB Type Practitioner Other
Facility Name LA JOLLA UROLOGY
Street 9834 GENESEE AVE, #224
City LA JOLLA
State CA
ZIP 92037
Phone 858 458-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Practitioner Other
Lab Director SCOTT D. SIMON

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