05D2087906 CLIA NUMBER - INTRINSICDX

Laboratory Demographics

  • CLIA Code: 05D2087906
  • Facility Name: INTRINSICDX
  • Facility Address: 505 COAST BLVD SOUTH STE 408
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 459-1758
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES DIBDIN
  • NPI Number: 1760840342
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2087906
LAB Type Independent
Facility Name INTRINSICDX
Street 505 COAST BLVD SOUTH STE 408
City LA JOLLA
State CA
ZIP 92037
Phone 858 459-1758
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Independent
Lab Director DR. JAMES DIBDIN

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