05D2090549 CLIA NUMBER - MICHAEL MOON, MD AMC

Laboratory Demographics

  • CLIA Code: 05D2090549
  • Facility Name: MICHAEL MOON, MD AMC
  • Facility Address: 3939 RUFFIN RD #11
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 858 202-1546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID C. MAJORS, MD
  • NPI Number: 1619014230
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2090549
LAB Type Physician Office
Facility Name MICHAEL MOON, MD AMC
Street 3939 RUFFIN RD #11
City SAN DIEGO
State CA
ZIP 92123
Phone 858 202-1546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director DAVID C. MAJORS, MD

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