05D2055590 CLIA NUMBER - San Diego Skin Inc

Laboratory Demographics

CLIA Number: 05D2055590

Facility Name: San Diego Skin Inc

Facility Address:
4150 Regents Park Row Ste 300
La Jolla, CA
ZIP 92037
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Facility Phone Number: (858) 909-9000

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1972831998

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2055590
LAB Type AMBULATORY SURGERY CENTER
Facility Name San Diego Skin Inc
Street 4150 Regents Park Row Ste 300
City La Jolla
State CA
ZIP 92037
Phone (858) 909-9000

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This page was last updated on: 12/19/2019