05D2080929 CLIA NUMBER - PACIFIC PEARL LA JOLLA CENTER FOR HEALTH AND HEALING

Laboratory Demographics

  • CLIA Code: 05D2080929
  • Facility Name: PACIFIC PEARL LA JOLLA CENTER FOR HEALTH AND HEALING
  • Facility Address: 6919 LA JOLLA BLVD
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 554-6919
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERMINIA M. GUARNERI
  • NPI Number: 1578256830
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D2080929
LAB Type Physician Office
Facility Name PACIFIC PEARL LA JOLLA CENTER FOR HEALTH AND HEALING
Street 6919 LA JOLLA BLVD
City LA JOLLA
State CA
ZIP 92037
Phone 858 554-6919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director ERMINIA M. GUARNERI

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