05D2010874 CLIA NUMBER - THOMAS HARRIS MD

Laboratory Demographics

  • CLIA Code: 05D2010874
  • Facility Name: THOMAS HARRIS MD
  • Facility Address: 450 4TH AVE STE 201
    CHULA VISTA, CA
    ZIP 91910
  • Facility Phone: 858 874-3444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS W. HARRIS
  • NPI Number: 1316056492
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2010874
LAB Type Physician Office
Facility Name THOMAS HARRIS MD
Street 450 4TH AVE STE 201
City CHULA VISTA
State CA
ZIP 91910
Phone 858 874-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director THOMAS W. HARRIS

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