05D1062909 CLIA NUMBER - UCSD AVRC

Laboratory Demographics

  • CLIA Code: 05D1062909
  • Facility Name: UCSD AVRC
  • Facility Address: 220 DICKINSON ST, STE A
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 543-8080
  • Facility Type: Other - RESEARCH CLINIC
  • Facility Type: Waiver
  • Lab Director: DAVID SMITH
  • NPI Number: 1225287469
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D1062909
LAB Type Other - RESEARCH CLINIC
Facility Name UCSD AVRC
Street 220 DICKINSON ST, STE A
City SAN DIEGO
State CA
ZIP 92103
Phone 619 543-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Other - RESEARCH CLINIC
Lab Director DAVID SMITH

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