05D2135898 CLIA NUMBER - AFC URGENT CARE SAN DIEGO MIRA MESA

Laboratory Demographics

CLIA Number: 05D2135898

Facility Name: AFC URGENT CARE SAN DIEGO MIRA MESA

Facility Address:
8260 MIRA MESA BLVD STE A
SAN DIEGO, CA
ZIP 92126
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Facility Phone Number: 858 900-3550

Facility Type: Other - OTHER

Certificate Type: Waiver

NPI Number: 1992237127

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2135898
LAB Type	Other - OTHER
Facility Name	AFC URGENT CARE SAN DIEGO MIRA MESA
Street	8260 MIRA MESA BLVD STE A
City	SAN DIEGO
State	CA
ZIP	92126
Phone	858 900-3550
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024