05D2045018 CLIA NUMBER - UC SAN DIEGO - CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2045018
  • Facility Name: UC SAN DIEGO - CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTE
  • Facility Address: 9452 MEDICAL CENTER DR
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 657-7099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK S. WALLACE
  • NPI Number: 1770042129
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2045018
LAB Type Physician Office
Facility Name UC SAN DIEGO - CLINICAL AND TRANSLATIONAL RESEARCH INSTITUTE
Street 9452 MEDICAL CENTER DR
City LA JOLLA
State CA
ZIP 92037
Phone 858 657-7099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director MARK S. WALLACE

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This page was last updated on: 6/4/2025