05D2142909 CLIA NUMBER - STEPHEN CHINN, OD A PROFESSIONAL CORP

Laboratory Demographics

  • CLIA Code: 05D2142909
  • Facility Name: STEPHEN CHINN, OD A PROFESSIONAL CORP
  • Facility Address: 2856 UNIVERSITY AVE
    SAN DIEGO, CA
    ZIP 92104
  • Facility Phone: 619 280-0664
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN CHINN, OD
  • NPI Number: 1912976291
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2142909
LAB Type Physician Office
Facility Name STEPHEN CHINN, OD A PROFESSIONAL CORP
Street 2856 UNIVERSITY AVE
City SAN DIEGO
State CA
ZIP 92104
Phone 619 280-0664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director STEPHEN CHINN, OD

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