05D1092911 CLIA NUMBER - ILLUMINA CLINICAL SERVICES LABORATORY

Laboratory Demographics

  • CLIA Code: 05D1092911
  • Facility Name: ILLUMINA CLINICAL SERVICES LABORATORY
  • Facility Address: 5200 ILLUMINA WAY
    SAN DIEGO, CA
    ZIP 92122
  • Facility Phone: 858 260-8649
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. AKANCHHA KESARI
  • NPI Number: 1427422526
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1092911
LAB Type Independent
Facility Name ILLUMINA CLINICAL SERVICES LABORATORY
Street 5200 ILLUMINA WAY
City SAN DIEGO
State CA
ZIP 92122
Phone 858 260-8649
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Independent
Lab Director DR. AKANCHHA KESARI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025