05D2007575 CLIA NUMBER - UCSD OCCUPATIONAL MED

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Laboratory Demographics

CLIA Number: 05D2007575

Facility Name: UCSD OCCUPATIONAL MED

Facility Address:
8899 UNIVERSITY CENTER LN
SAN DIEGO, CA
ZIP 92122
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Facility Phone Number: 858 657-8612

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891131314

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2007575
LAB Type	Physician Office
Facility Name	UCSD OCCUPATIONAL MED
Street	8899 UNIVERSITY CENTER LN
City	SAN DIEGO
State	CA
ZIP	92122
Phone	858 657-8612
CertificateType	4
CertificateEffectiveDate	5/19/2022
CertificateExpirationDate	5/18/2024
FacilityType	Waiver

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