05D2010320 CLIA NUMBER - UNIVERSITY OF SAN DIEGO STUDENT HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D2010320

Facility Name: UNIVERSITY OF SAN DIEGO STUDENT HEALTH CENTER

Facility Address:
5998 ALCALA PARK -- MAHER HALL 140
SAN DIEGO, CA
ZIP 92110
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Facility Phone Number: 619 260-4595

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1962958561

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2010320
LAB Type School/Student Health Service
Facility Name UNIVERSITY OF SAN DIEGO STUDENT HEALTH CENTER
Street 5998 ALCALA PARK -- MAHER HALL 140
City SAN DIEGO
State CA
ZIP 92110
Phone 619 260-4595
CertificateType 3
CertificateEffectiveDate 7/23/2022
CertificateExpirationDate 7/22/2024
FacilityType PPMP

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