05D2014091 CLIA NUMBER - PREBYS CANCER CENTER

Laboratory Demographics

  • CLIA Code: 05D2014091
  • Facility Name: PREBYS CANCER CENTER
  • Facility Address: 4044 5TH AVE
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 858 554-9642
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. EMILY A. NAGLER
  • NPI Number: 1619108503
  • Taxonomy: 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery)

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CLIA Record

Field Name Field Value
CLIA Number 05D2014091
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PREBYS CANCER CENTER
Street 4044 5TH AVE
City SAN DIEGO
State CA
ZIP 92103
Phone 858 554-9642
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. EMILY A. NAGLER

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