05D2009301 CLIA NUMBER - THOMAS W HARRIS, MD INC

Laboratory Demographics

  • CLIA Code: 05D2009301
  • Facility Name: THOMAS W HARRIS, MD INC
  • Facility Address: 5395 RUFFIN RD, STE 201
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 858 560-0242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID M. KUPFER
  • NPI Number: 1073584074
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2009301
LAB Type Physician Office
Facility Name THOMAS W HARRIS, MD INC
Street 5395 RUFFIN RD, STE 201
City SAN DIEGO
State CA
ZIP 92123
Phone 858 560-0242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director DAVID M. KUPFER

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