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

Laboratory Demographics

  • CLIA Code: 05D2010320
  • Facility Name: UNIVERSITY OF SAN DIEGO STUDENT HEALTH CENTER
  • Facility Address: 5998 ALCALA PARK -- MAHER HALL 140
    SAN DIEGO, CA
    ZIP 92110
  • Facility Phone: 619 260-4595
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: KIMBERLY WOODRUFF
  • NPI Number: 1962958561
  • Taxonomy: 261QS1000X - Clinic/Center

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type School/Student Health Service
Lab Director KIMBERLY WOODRUFF

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