05D2004540 CLIA NUMBER - PAUL S PHILLIPS

Laboratory Demographics

  • CLIA Code: 05D2004540
  • Facility Name: PAUL S PHILLIPS
  • Facility Address: 501 WASHINGTON ST STE 512
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 297-0014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL S. PHILLIPS
  • NPI Number: 1164438081
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2004540
LAB Type Physician Office
Facility Name PAUL S PHILLIPS
Street 501 WASHINGTON ST STE 512
City SAN DIEGO
State CA
ZIP 92103
Phone 619 297-0014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director PAUL S. PHILLIPS

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