05D1058216 CLIA NUMBER - EUCLID ENDOSCOPY CENTER LP

Laboratory Demographics

  • CLIA Code: 05D1058216
  • Facility Name: EUCLID ENDOSCOPY CENTER LP
  • Facility Address: 286 EUCLID AVE STE 109
    SAN DIEGO, CA
    ZIP 92114
  • Facility Phone: 619 266-3332
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TADDESE T. DESTA
  • NPI Number: 1972028058
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1058216
LAB Type Ambulatory Surgery Center
Facility Name EUCLID ENDOSCOPY CENTER LP
Street 286 EUCLID AVE STE 109
City SAN DIEGO
State CA
ZIP 92114
Phone 619 266-3332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Ambulatory Surgery Center
Lab Director TADDESE T. DESTA

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