05D2087755 CLIA NUMBER - ROGER KASENDORF DO PC

Laboratory Demographics

  • CLIA Code: 05D2087755
  • Facility Name: ROGER KASENDORF DO PC
  • Facility Address: 9834 GENESEE AVE #221
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 516 415-1836
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROGER KASENDORF
  • NPI Number: 1356371884
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2087755
LAB Type Physician Office
Facility Name ROGER KASENDORF DO PC
Street 9834 GENESEE AVE #221
City LA JOLLA
State CA
ZIP 92037
Phone 516 415-1836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director ROGER KASENDORF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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