05D2078491 CLIA NUMBER - MICHAEL T COURIS MD INC

Laboratory Demographics

  • CLIA Code: 05D2078491
  • Facility Name: MICHAEL T COURIS MD INC
  • Facility Address: 3969 FOURTH AVE
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 291-6191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. COURIS
  • NPI Number: 1063638682
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2078491
LAB Type Physician Office
Facility Name MICHAEL T COURIS MD INC
Street 3969 FOURTH AVE
City SAN DIEGO
State CA
ZIP 92103
Phone 619 291-6191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director MICHAEL T. COURIS

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