05D2127760 CLIA NUMBER - SKY FACIAL PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 05D2127760
  • Facility Name: SKY FACIAL PLASTIC SURGERY
  • Facility Address: 16918 DOVE CANYON RD STE 208
    SAN DIEGO, CA
    ZIP 92127
  • Facility Phone: 858 381-4801
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SIRIUS K. YOO, MD
  • NPI Number: 1801138946
  • Taxonomy: 207YX0905X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 05D2127760
LAB Type Ambulatory Surgery Center
Facility Name SKY FACIAL PLASTIC SURGERY
Street 16918 DOVE CANYON RD STE 208
City SAN DIEGO
State CA
ZIP 92127
Phone 858 381-4801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Ambulatory Surgery Center
Lab Director SIRIUS K. YOO, MD

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