05D2052940 CLIA NUMBER - ADVANCED CLINICAL RESEARCH CENTER DBA TRIWEST RESEARCH ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D2052940
  • Facility Name: ADVANCED CLINICAL RESEARCH CENTER DBA TRIWEST RESEARCH ASSOCIATES
  • Facility Address: 292 H ST STE 304
    CHULA VISTA, CA
    ZIP 91910
  • Facility Phone: 619 334-4735
  • Facility Type: Other - RESEARCH CENTER
  • Facility Type: Waiver
  • Lab Director: ARTHUR MABAQUIAO
  • NPI Number: 1306113022
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2052940
LAB Type Other - RESEARCH CENTER
Facility Name ADVANCED CLINICAL RESEARCH CENTER DBA TRIWEST RESEARCH ASSOCIATES
Street 292 H ST STE 304
City CHULA VISTA
State CA
ZIP 91910
Phone 619 334-4735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Other - RESEARCH CENTER
Lab Director ARTHUR MABAQUIAO

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