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05D1092911 CLIA NUMBER - ILLUMINA CLINICAL SERVICES LABORATORY

Laboratory Demographics

CLIA Number: 05D1092911

Facility Name: ILLUMINA CLINICAL SERVICES LABORATORY

Facility Address:
5200 ILLUMINA WAY
SAN DIEGO, CA
ZIP 92122
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Facility Phone Number: 858 260-8649

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1427422526

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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
CertificateType 1
CertificateEffectiveDate 10/27/2023
CertificateExpirationDate 10/26/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024