05D2024309 CLIA NUMBER - CARRIE L CARDENAS, MD, AMC

Laboratory Demographics

  • CLIA Code: 05D2024309
  • Facility Name: CARRIE L CARDENAS, MD, AMC
  • Facility Address: 3330 3RD AVE STE 402
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 819-7227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARRIE L. CARDENAS MD
  • NPI Number: 1750390084
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2024309
LAB Type Physician Office
Facility Name CARRIE L CARDENAS, MD, AMC
Street 3330 3RD AVE STE 402
City SAN DIEGO
State CA
ZIP 92103
Phone 619 819-7227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director CARRIE L. CARDENAS MD

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