05D2094003 CLIA NUMBER - FACESPLUS.INC

Laboratory Demographics

  • CLIA Code: 05D2094003
  • Facility Name: FACESPLUS.INC
  • Facility Address: 4510 EXECUTIVE DR STE 200
    SAN DIEGO, CA
    ZIP 92121
  • Facility Phone: 858 453-7224
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN R. COHEN, MD
  • NPI Number: 1700913902
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2094003
LAB Type Ambulatory Surgery Center
Facility Name FACESPLUS.INC
Street 4510 EXECUTIVE DR STE 200
City SAN DIEGO
State CA
ZIP 92121
Phone 858 453-7224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Ambulatory Surgery Center
Lab Director STEVEN R. COHEN, MD

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