05D2059363 CLIA NUMBER - SCRIPPS CLINIC JOHN R ANDERSON V MEDICAL PAVILLION

Laboratory Demographics

CLIA Number: 05D2059363

Facility Name: SCRIPPS CLINIC JOHN R ANDERSON V MEDICAL PAVILLION

Facility Address:
9898 GENESEE AVE
LA JOLLA, CA
ZIP 92037
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Facility Phone Number: 858 554-9642

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1033666706

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D2059363
LAB Type Physician Office
Facility Name SCRIPPS CLINIC JOHN R ANDERSON V MEDICAL PAVILLION
Street 9898 GENESEE AVE
City LA JOLLA
State CA
ZIP 92037
Phone 858 554-9642
CertificateType 3
CertificateEffectiveDate 5/21/2023
CertificateExpirationDate 5/20/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024